MISS BROOKE MICHELLE SMITH DPM NPI 1861063802

NPI Information

MISS Brooke Michelle Smith, DPM is a student in an organized health care education training program in Bronx, NY. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. MISS Brooke Michelle Smith, DPM NPI is 1861063802. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

111 EAST 210TH ST
BRONX, NY
ZIP 10467
Phone: (347) 577-4410
Fax: (347) 577-4596

The enumeration date for this NPI number is 7/9/2021 and was last updated on 7/9/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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