National Provider Identifier
Tracy E Smith, PA-C
Tracy E Smith, PA-C is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant in Rochester, NY and a listed phone number of (585) 922-3963.
Profile Overview
- NPI
- 1356591887
- Provider Type
- Individual
- Primary Specialty
- Surgical Physician Assistant
- Enumeration Date
- September 20, 2008
- Last Updated
- November 15, 2019
Practice Location
- 1425 Portland Ave
- Rochester, NY 14621-3001
Phone: (585) 922-3963
Specialties
- Surgical Physician Assistant (363AS0400X)
Full Record
- NPI
- 1356591887
- Entity Type
- Individual
- Last Name
- Smith
- First Name
- Tracy
- Middle Name
- E
- Credential
- PA-C
- Mailing Street Address
- 1425 Portland Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-3001
- Mailing Country
- US
- Practice Street Address
- 1425 Portland Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3001
- Practice Country
- US
- Practice Phone
- (585) 922-3963
- Enumeration Date
- September 20, 2008
- Last Updated
- November 15, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Surgical Physician Assistant (363AS0400X)