Smith, Jennifer A

Smith, Jennifer A is an individual health care provider with primary practice located at 3050 Orchard Park Road , West Seneca NY 14224. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology. Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology is her primary health care specialty. Smith, Jennifer A can be contacted via phone (716) 675-5222.

Contact Information

Primary practice address
3050 Orchard Park Road West Seneca NY 14224
Phone: (716) 675-5222
Fax: (716) 675-9329
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0079861 New York
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 007986 New York

Profile Details

NPI number 1316939655
LBN Legal business name Smith, Jennifer A
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated Dec 10th, 2019 - about 5 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 1316939655 NPPES
New York MEDICAID 02343635

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