Smith, Charisse

Smith, Charisse is an individual health care provider with primary practice located at 451 Clarkson Ave , Brooklyn NY 11203-2054. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Smith, Charisse can be contacted via phone (718) 245-4610.

Contact Information

Primary practice address
451 Clarkson Ave Brooklyn NY 11203-2054
Phone: (718) 245-4610
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 008528 New York

Profile Details

NPI number 1427017995
LBN Legal business name Smith, Charisse
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Oct 29th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427017995 NPPES
New York MEDICAID 02831643
New York Other P00330253

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