Individual
MRS. ANIZIYA D SMAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
450 CLARKSON AVE, BOX 49, BROOKLYN, NY 11203
(718) 270-1691
(718) 270-1985
Mailing address
PO BOX 49, BROOKLYN, NY 11203-0049
(718) 270-1691
(718) 270-1985
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
010436
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36
PHYSICIAN ASSISTANT
NY
Enumeration date
05/08/2006
Last updated
01/28/2013
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