Individual
EMILY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(508) 377-8872
Mailing address
104 MEADOWBROOK RD, WESTON, MA 02493-2406
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
036127
NY
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/05/2026
Last updated
07/24/2026
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