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Mr. Gwyeth Smith, CP
Prosthetic/Orthotic Supplier in Hicksville, New York
NPI 1972881969

Gwyeth Smith is a Prosthetic/Orthotic Supplier based in Hicksville, NY. Gwyeth Smith practices in Hicksville, NY and has the professional credentials of CP. The NPI Number for Gwyeth Smith is 1972881969 and holds a License No. 3745 (New York).

The current practice location address for Gwyeth Smith is 132 Newbridge Rd, Hicksville, NY and can be reached out via phone at 516-681-3484 and via fax at 516-681-3406.

Location: 132 Newbridge Rd, Hicksville, NY, 11801-3931
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972881969
Provider Name
Gwyeth Smith
Credential
CP
Provider Entity Type
Individual
Gender
Male
Address
132 Newbridge Rd, Hicksville, NY, 11801-3931
Phone Number
516-681-3484
Fax Number
516-681-3406
Provider Enumeration Date
07/26/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
132 Newbridge Rd
City
Hicksville
State
New York
Zip
11801-3931
Phone Number
516-681-3484
Fax Number
516-681-3406
person
Provider Business Mailing Address Details
Address
132 Newbridge Rd
City
Hicksville
State
New York
Zip
11801-3931
Phone Number
516-681-3484
Fax Number
516-681-3406
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
3745 (New York)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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