Most Relevant Information
Provider Data
| NPI Number: | 1003476458 |
| Provider Name: | VICTORIA R SMITH CASAC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 10744 |
Most Important Dates
| Enumeration Date: | 06/18/2019 |
| Last Updated: | 06/18/2019 |
Provider Practice Location
3584 JEROME AVE
BRONX
NY
104671006
Practice Location Phone/Fax
| Phone: | 7186531537 |
| Fax: | 7188821426 |
Provider Mailing Location
79 GLENRIDGE RD
GLENVILLE
NY
123024523
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |