Individual
MISS CAMERON TAYLOR SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPAS, PA-C
Contact information
Practice address
60 RIVERSIDE BLVD APT 705, NEW YORK, NY 10069-0209
(972) 302-7061
Mailing address
60 RIVERSIDE BLVD APT 705, NEW YORK, NY 10069-0209
(972) 302-7061
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
025986
NY
207P00000X
Emergency Medicine Physician
025986
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
025986
NY
363A00000X
Physician Assistant
Primary
025986
NY
363A00000X
Physician Assistant
085007702
IL
363A00000X
Physician Assistant
PA13511
TX
Other
Enumeration date
04/06/2020
Last updated
08/25/2024
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