Individual
MR. BRANDON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
11835 RT 9W, WEST COXSACKIE, NY 12192-3605
(518) 264-9000
Mailing address
18 CHARLES ST, HUDSON, NY 12534-1404
(518) 610-2506
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/26/2021
Last updated
09/26/2021
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