Shanelle Smith, PA
Physician Assistant in New York, NY. Individual provider (NPI-1).
NPI number1265348247
StatusActive
Last updated in NPPESNov 3, 2026
Details
- NPI
- 1265348247
- Entity type
- Individual (NPI-1)
- Name
- Shanelle Smith
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 20, 2026
- Certification date
- Nov 3, 2026
- Last updated
- Nov 3, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
2257 Adam Clayton Powell Jr BlvdNew York, NY 10027-7979
Phone 718-844-2561
Mailing address
2257 Adam Clayton Powell Jr BlvdNew York, NY 10027-7979
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