Individual
ELIZABETH ANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1083 DELAWARE AVE STE 1, BUFFALO, NY 14209-1674
(716) 882-1023
Mailing address
47 TIOGA ST, BUFFALO, NY 14216-2718
(253) 209-2308
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NY
Other
Enumeration date
07/09/2020
Last updated
07/09/2020
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