Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lyza Himilce Smith

Individual provider Specialist · NPI 1760034813

Lyza Himilce Smith is a Specialist in Massapequa, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2019
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Practice location Address checks out

109 Massachusetts Ave
Massapequa, NY 11758-4107
Phone: (347) 866-5136
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 2548278 (NY)

Record details

NPI number1760034813
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 9, 2019
Last updated in NPPESJuly 9, 2019

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