Most Relevant Information
Provider Data
| NPI Number: | 1003695313 |
| Provider Name: | ABBY JUSTINE SMITH |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/26/2023 |
| Last Updated: | 09/26/2023 |
Provider Practice Location
81 LAKE AVE
ROCHESTER
NY
146081410
Practice Location Phone/Fax
| Phone: | 5853686900 |
| Fax: | 5853686955 |
Provider Mailing Location
81 LAKE AVE
ROCHESTER
NY
146081410
Provider Mailing Phone/Fax
| Phone: | 5853686900 |
| Fax: | 5853696955 |