National Provider Identifier
Cassidy Rose Smith, PA-C
Cassidy Rose Smith, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Henrietta, NY and a listed phone number of (716) 204-4500.
Profile Overview
- NPI
- 1801318738
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- July 12, 2017
- Last Updated
- July 12, 2017
Practice Location
- 2685 E Henrietta RD
- Henrietta, NY 14467-9370
Phone: (716) 204-4500
Mailing Address
- 4955 Red Tail Run
- Williamsville, NY 14221-4183
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1801318738
- Entity Type
- Individual
- Last Name
- Smith
- First Name
- Cassidy
- Middle Name
- Rose
- Credential
- PA-C
- Mailing Street Address
- 4955 Red Tail Run
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-4183
- Mailing Country
- US
- Mailing Phone
- (716) 866-8314
- Practice Street Address
- 2685 E Henrietta RD
- Practice City
- Henrietta
- Practice State
- NY
- Practice ZIP Code
- 14467-9370
- Practice Country
- US
- Practice Phone
- (716) 204-4500
- Enumeration Date
- July 12, 2017
- Last Updated
- July 12, 2017
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)