Provider Demographics
NPI:1457587768
Name:SMITH, RITA ASARE (RN)
Entity type:Individual
Prefix:
First Name:RITA
Middle Name:ASARE
Last Name:SMITH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1915 MORRIS AVE
Mailing Address - Street 2:APT. 1G
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10453-5920
Mailing Address - Country:US
Mailing Address - Phone:347-597-9080
Mailing Address - Fax:
Practice Address - Street 1:2563 BAINBRIDGE AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10458-4601
Practice Address - Country:US
Practice Address - Phone:718-733-3854
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-02
Last Update Date:2009-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY613667163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse