Individual
BETHANY A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 MEDICAL CENTER DR, BIDDEFORD, ME 04005-9422
(207) 283-7937
(207) 283-7018
Mailing address
1555 LONG POND RD, DEPT. OF MEDICINE, ROCHESTER, NY 14626-4122
(585) 723-7870
(585) 723-7871
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
15442
NY
363A00000X
Physician Assistant
PA1940
ME
363AM0700X
Medical Physician Assistant
Primary
015442
NY
Other
Enumeration date
02/14/2012
Last updated
06/24/2024
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