Individual
MEGHAN MULLAHY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
507 N 17TH ST, MILWAUKEE, WI 53233-2104
(224) 257-0607
Mailing address
200 W 57TH ST STE 307, NEW YORK, NY 10019-3211
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
NY
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/26/2025
Last updated
02/25/2026
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