Smyth, Charlene A
Smyth, Charlene A is an individual health care provider with primary practice located at 301 Valley Dr Parkside Children'S Center, Syracuse NY 13207-2298. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Smyth, Charlene A can be contacted via phone (315) 468-1632.Contact Information
Primary practice address
301 Valley Dr Parkside Children'S Center
Syracuse NY 13207-2298
Phone: (315) 468-1632
Fax: (315) 468-1635
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X | 307746031 | New York |
Profile Details
| NPI number | 1619271251 |
|---|---|
| LBN Legal business name | Smyth, Charlene A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2010 |
| Last updated | Dec 22nd, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619271251 | NPPES |
| New York | Other | 1598996571 | PARKSIDE CHILDREN'S CENTER |
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