Individual ProviderDantie SmithLicensed Practical NurseNursing Service ProvidersPractice Address373 Broadway, Amityville, NY 11701-2707(631) 608-8523PECOS EnrollmentBased on the most recent information from CMS, provider Dantie Smith does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1134468630Provider TypeIndividualFull NameSmith, DantieGenderFemaleSole ProprietorYesEnumeration Date2/5/2013Last Updated2/5/2013Contact InformationPractice LocationPractice Address373 Broadway, Amityville, NY 11701-2707Phone(631) 608-8523FaxUnlisted FaxMailing LocationMailing Address252 Nassau Ave, Freeport, NY 11520-6117PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense310752New York