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Individual

DR. DANIEL JACKSON SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD, AGPCNP-BC, CNE

Contact information

Practice address
100 E TUPPER ST, BUFFALO, NY 14203-1315
(716) 919-6870
Mailing address
100 E TUPPER ST, BUFFALO, NY 14203-1315

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN280809
GA
163W00000X
Registered Nurse
RN749716
PA
363L00000X
Nurse Practitioner
Primary
311879
NY
363L00000X
Nurse Practitioner
RN280809
GA
363L00000X
Nurse Practitioner
SP025728
PA

Other

Enumeration date
03/24/2022
Last updated
10/04/2024
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