Individual
MRS. COURTNEY G SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
705 MAPLE RD STE 300, AMHERST, NY 14221-3291
(716) 710-8266
(716) 710-8267
Mailing address
908 NIAGARA FALLS BLVD STE 208, NORTH TONAWANDA, NY 14120-2019
(716) 692-3302
(716) 692-4342
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
306075
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03841229
—
NY
Enumeration date
07/06/2012
Last updated
10/02/2017
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