National Provider Identifier

Raleek Smith

Raleek Smith is listed in the NPPES registry with a primary specialty of Attendant Care Provider in Brockport, NY and a listed phone number of (585) 431-3097.

NPI 1447808670Brockport, NYAttendant Care Provider

Profile Overview

NPI
1447808670
Provider Type
Individual
Primary Specialty
Attendant Care Provider
Enumeration Date
August 30, 2019
Last Updated
August 30, 2019

Practice Location

  • 911 Wellington Woods Dr
  • Brockport, NY 14420-1551

Phone: (585) 431-3097

Specialties

  • Attendant Care Provider (3747A0650X)
Full Record
NPI
1447808670
Entity Type
Individual
Last Name
Smith
First Name
Raleek
Mailing Street Address
911 Wellington Woods Dr
Mailing City
Brockport
Mailing State
NY
Mailing ZIP Code
14420-1551
Mailing Country
US
Mailing Phone
(585) 431-3097
Practice Street Address
911 Wellington Woods Dr
Practice City
Brockport
Practice State
NY
Practice ZIP Code
14420-1551
Practice Country
US
Practice Phone
(585) 431-3097
Enumeration Date
August 30, 2019
Last Updated
August 30, 2019
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Attendant Care Provider (3747A0650X)