Most Relevant Information
Provider Data
| NPI Number: | 1003502246 |
| Provider Name: | MADELINE SMITH |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/12/2023 |
| Last Updated: | 04/14/2023 |
Provider Practice Location
120 WHITEHALL BLVD
GARDEN CITY
NY
115302726
Practice Location Phone/Fax
| Phone: | 5167127036 |
| Fax: |
Provider Mailing Location
120 WHITEHALL BLVD
GARDEN CITY
NY
115302726
Provider Mailing Phone/Fax
| Phone: | 5167127036 |
| Fax: |