Provider Demographics
NPI:1144533100
Name:SMITH-CAMBRY, FIONA GLORIA (FNP-BC, PMHNP-BC)
Entity type:Individual
Prefix:DR
First Name:FIONA
Middle Name:GLORIA
Last Name:SMITH-CAMBRY
Suffix:
Gender:F
Credentials:FNP-BC, PMHNP-BC
Other - Prefix:DR
Other - First Name:FIONA
Other - Middle Name:GLORIA
Other - Last Name:SMITH-CAMBRY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DNP, PMHNP-BC, FNP-B
Mailing Address - Street 1:441 CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:WEST HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11552-2509
Mailing Address - Country:US
Mailing Address - Phone:516-489-6463
Mailing Address - Fax:
Practice Address - Street 1:441 CEDAR ST
Practice Address - Street 2:
Practice Address - City:WEST HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11552-2509
Practice Address - Country:US
Practice Address - Phone:516-205-5541
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-20
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY403349363LP0808X
NY336103-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health