Individual
CAMERON DWAYNE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
425 E 67TH ST, NEW YORK, NY 10065-6004
(212) 639-2000
Mailing address
380 LIBERTY AVE, STATEN ISLAND, NY 10305-2214
(401) 256-3405
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/11/2019
Last updated
12/05/2025
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