Individual
CASSIDY ROSE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2685 E HENRIETTA RD, HENRIETTA, NY 14467-9370
(716) 204-4500
Mailing address
4955 RED TAIL RUN, WILLIAMSVILLE, NY 14221-4183
(716) 866-8314
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
021000
NY
Other
Enumeration date
07/12/2017
Last updated
07/12/2017
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