Carla Anne Smith
Physician Assistant in New York, NY. Individual provider (NPI-1).
NPI number1043666084
StatusActive
Last updated in NPPESApr 2, 2021
Details
- NPI
- 1043666084
- Entity type
- Individual (NPI-1)
- Name
- Carla Anne Smith
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 9, 2016
- Certification date
- Apr 2, 2021
- Last updated
- Apr 2, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 019648 | NY | Yes |
Practice location
535 E 70th StNew York, NY 10021-4823
Phone 212-606-1000
Mailing address
535 E 70th StNew York, NY 10021-4823
Phone 212-606-1000
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