Individual
ALYSSA KAREN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1000 SOUTH AVE, ROCHESTER, NY 14620-2733
(585) 341-0364
(585) 341-6516
Mailing address
1000 SOUTH AVE # 95, ROCHESTER, NY 14620-2733
(853) 410-3645
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1202787
NY
Other
Enumeration date
09/06/2023
Last updated
12/08/2023
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