Individual
CARLA SMITH-RICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
157 E 18TH ST, GROUND FLOOR, NEW YORK, NY 10003-2409
(212) 260-6078
(212) 477-3575
Mailing address
157 EAST 18TH STREET, GROUND FLOOR, NEW YORK, NY 10003
(212) 260-6078
(212) 477-3575
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
009881
NY
Other
Enumeration date
07/27/2007
Last updated
07/27/2007
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