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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427017995 | NPPES |
| New York | MEDICAID | 02831643 | |
| New York | Other | P00330253 |
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