Individual
JOSEPH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
50 NEW SCOTLAND AVE # MC-192, ALBANY, NY 12208-3403
(518) 262-4000
Mailing address
3 OAK LN APT 3, RENSSELAER, NY 12144-3086
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
028403-01
NY
Other
Enumeration date
06/27/2022
Last updated
06/27/2022
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