Angela M Smith, CRNA | |
1041 3rd Ave Ste 200, New York, NY 10065-8114 | |
(212) 362-3470 | |
Not Available |
Full Name | Angela M Smith |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1041 3rd Ave Ste 200, New York, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1477740629 | NPI | - | NPPES |
222041639 | Other | NJ | TAX ID |
Entity Name | Quality Medical Management Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114502606 PECOS PAC ID: 5799193074 Enrollment ID: O20210427000857 |
Mailing Address | Practice Location Address |
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Angela M Smith, CRNA Po Box 82, Byrnedale, PA 15827-0082 Ph: (724) 991-9703 | Angela M Smith, CRNA 1041 3rd Ave Ste 200, New York, NY 10065-8114 Ph: (212) 362-3470 |
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