Individual
OLIVIA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
535 E 70TH ST, NEW YORK, NY 10021-4823
(212) 606-1000
Mailing address
535 E 70TH ST, NEW YORK, NY 10021-4823
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
030703
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/08/2023
Last updated
09/19/2023
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