Individual
MRS. AUDREY DOREEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
30 N UNION RD, STE 104, WILLIAMSVILLE, NY 14221-5367
(716) 565-3990
(716) 565-3988
Mailing address
30 N UNION RD, STE 104, WILLIAMSVILLE, NY 14221-5367
(716) 565-3990
(716) 565-3988
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
078191
NY
Other
Enumeration date
06/09/2005
Last updated
02/19/2008
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