National Provider Identifier

Michael Patrick Smith, MPAS, PA-C

Michael Patrick Smith, MPAS, PA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Buffalo, NY and a listed phone number of (716) 898-5001.

NPI 1417939265Buffalo, NYMedical Physician Assistant

Profile Overview

NPI
1417939265
Provider Type
Individual
Primary Specialty
Medical Physician Assistant
Enumeration Date
November 17, 2005
Last Updated
January 23, 2019

Practice Location

  • 462 Grider St
  • Buffalo, NY 14215-3098

Phone: (716) 898-5001

Mailing Address

  • 908 Niagara Falls Blvd Ste 208
  • North Tonawanda, NY 14120-2019

Specialties

  • Medical Physician Assistant (363AM0700X)
Full Record
NPI
1417939265
Entity Type
Individual
Last Name
Smith
First Name
Michael
Middle Name
Patrick
Credential
MPAS, PA-C
Mailing Street Address
908 Niagara Falls Blvd Ste 208
Mailing City
North Tonawanda
Mailing State
NY
Mailing ZIP Code
14120-2019
Mailing Country
US
Mailing Phone
(716) 692-3302
Mailing Fax
(716) 692-4342
Practice Street Address
462 Grider St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14215-3098
Practice Country
US
Practice Phone
(716) 898-5001
Enumeration Date
November 17, 2005
Last Updated
January 23, 2019
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Medical Physician Assistant (363AM0700X)