Individual
JENNIFER W. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(315) 464-4851
Mailing address
550 E GENESEE ST, SYRACUSE, NY 13202-2158
(315) 464-4851
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
018095
NY
363AS0400X
Surgical Physician Assistant
018095
NY
Other
Enumeration date
10/07/2014
Last updated
12/06/2017
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