Provider Demographics
NPI:1235861105
Name:SMERALDI, ANNAMARIA ESTER (MSED)
Entity Type:Individual
Prefix:
First Name:ANNAMARIA
Middle Name:ESTER
Last Name:SMERALDI
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6565 BOOTH ST APT 306
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-4138
Mailing Address - Country:US
Mailing Address - Phone:917-325-5933
Mailing Address - Fax:
Practice Address - Street 1:6565 BOOTH ST APT 306
Practice Address - Street 2:
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-4138
Practice Address - Country:US
Practice Address - Phone:917-325-5933
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-28
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist