Individual
ANDREA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
155 CRYSTAL RUN RD, MIDDLETOWN, NY 10941-4028
(845) 703-6999
(845) 796-5899
Mailing address
155 CRYSTAL RUN RD, MIDDLETOWN, NY 10941-4028
(845) 703-6999
(845) 796-5899
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
011854
NY
363AS0400X
Surgical Physician Assistant
Primary
011854
NY
Other
Enumeration date
07/12/2007
Last updated
11/27/2007
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