Individual
PATRICIA R SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3980 SHERIDAN DR, AMHERST, NY 14226-1727
(716) 961-9900
Mailing address
3980 SHERIDAN DR, AMHERST, NY 14226-1727
(716) 961-9900
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F300131
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00028138001
EXCELLUS UNIVERA
NY
05
—
2914029
—
NY
Enumeration date
09/06/2007
Last updated
01/07/2008
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