Individual provider · Type 1 NPI

Lyza Himilce Smith

Specialist · Massapequa, NY

NPI number 1760034813 Active

Practice location

109 Massachusetts Ave
Massapequa, NY 11758-4107

Call (347) 866-5136 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X2548278 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1760034813

Lyza Himilce Smith's National Provider Identifier is 1760034813, issued on Jul 9, 2019. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Massapequa, NY. The record was last updated on Jul 9, 2019.