RALEEK SMITH


Address: 911 Wellington Woods Dr, Brockport, NY 14420-1551
Phone: 5854313097

RALEEK SMITH (NPI# 1447808670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447808670
Entity Type Individual
Full Name RALEEK SMITH
Practice Address 911 Wellington Woods Dr
Brockport
NY 14420-1551
Practice Telephone 5854313097
Mailing Telephone 5854313097
Enumeration Date 2019-08-30
Last Update Date 2019-08-30
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3747A0650X Technician
Specialization: Attendant Care Provider
Nursing Service Related Providers

Office Location

Street Address 911 WELLINGTON WOODS DR
City BROCKPORT
State NY
Zip Code 14420-1551

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NPI Name Taxonomy Address Enumeration
1194217471 Brianna Lynn Bunch Licensed Practical Nurse 126 White Road, Brockport, NY 14420 2018-06-03
1174012785 Penny Bowers Massage Therapist 27 Market Street, Upstairs, Brockport, NY 14420 2018-05-09
1386172062 Allison Manly Dentist 1000 Transit Way, Brockport, NY 14420 2017-05-25
1235518143 Erin B Chapman Physical Medicine & Rehabilitation 350 New Campus Drive, Brockport, NY 14420 2015-05-26
1972853653 Theresa Fox Lehman Specialist 32 Mission Hill Drive, Brockport, NY 14420 2012-09-11
1689946303 Beverly Whiteman Registered Nurse 40 Allen St., Brockport, NY 14420 2012-01-27
1316217425 Julie Ann Knapp Registered Nurse 40 Allen Street, Brockport Central School District, Brockport, NY 14420 2012-01-05
1851678965 Jennifer Anne Cohen Registered Nurse 188 Utica Street, Brockport, NY 14420 2011-11-03
1205088960 Amy Maureen Hennessy Obstetrics & Gynecology 6668 Fourth Section Rd Ste 500, Brockport, NY 14420 2008-10-14
1053454884 Nancy S Iafrati Nurse Practitioner Suny Brockport Student Health Center, 350 New Campus Drive, Brockport, NY 14420 2007-02-14
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Taxonomy Information

Taxonomy Code 3747A0650X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Attendant Care Provider

Taxonomy Definition

An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1649885666 Carole Jane Pelaia Technician 100 Forrestal Hts, Beacon, NY 12508-3733 2020-09-15
1194340950 Barbara Dore Russell Technician 43 Hillsboro Dr, Orchard Park, NY 14127-3433 2020-06-08
1316560105 Baw Su Technician 341 Oliver St, N Tonawanda, NY 14120-7227 2020-05-27
1255953782 Tina Marie Loucks Technician 6294 Fulford Hill Rd, Bath, NY 14810-8156 2020-05-06
1508487240 Jacqueline Marshall Technician 144 South 2nd Avenue 2c, Mount Vernon, West Chester, NY 10550 2020-05-05
1891324240 Crystal Lynn Booth Technician 5510 Fortuna Pkwy, Clay, NY 13041-8929 2020-04-07
1366076788 Patricia Metznik Garcia Technician 1660 S Ivy Trl, Baldwinsville, NY 13027-9051 2020-02-25
1578196549 Ernesto Murray Technician 463 East 178st Apt#3b, Bronx New York, NY 10457 2020-02-19
1588204317 Jeanie L Phillips Technician 1837 Us Highway 11 Lot 34, Marathon, NY 13803-2360 2020-01-09
1568001972 William B Love Technician 2050 Frederick Douglas Blvd #2-10, New York, NY 10026-3236 2020-01-02
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Competitor

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City BROCKPORT
Zip Code 14420

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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