Individual
ANDREW BODKIN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
550 ORCHARD PARK RD STE B103, WEST SENECA, NY 14224-2655
(716) 677-5005
(716) 712-0160
Mailing address
550 ORCHARD PARK RD STE A105, WEST SENECA, NY 14224-2654
(716) 677-6000
(716) 677-6006
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
716953
NY
363LF0000X
Family Nurse Practitioner
Primary
345460
NY
Other
Enumeration date
01/29/2020
Last updated
03/13/2020
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