National Provider Identifier

Bethany P. Smith, PA

Bethany P. Smith, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Elmira, NY and a listed phone number of (607) 734-4110.

NPI 1821540790Elmira, NYPhysician Assistant

Source: public NPPES record, last updated November 15, 2022. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1821540790
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
October 26, 2016
Last Updated
November 15, 2022

Practice Location

  • 300 Hoffman St
  • Elmira, NY 14905-2263

Phone: (607) 734-4110

Mailing Address

  • 571 Saint Josephs Blvd Fl 2
  • Elmira, NY 14901-3230

Specialties

  • Physician Assistant (363A00000X)

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Full Record
NPI
1821540790
Entity Type
Individual
Last Name
Smith
First Name
Bethany
Middle Name
P.
Credential
PA
Mailing Street Address
571 Saint Josephs Blvd Fl 2
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14901-3230
Mailing Country
US
Mailing Phone
(607) 271-2050
Mailing Fax
(607) 873-1244
Practice Street Address
300 Hoffman St
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14905-2263
Practice Country
US
Practice Phone
(607) 734-4110
Practice Fax
(607) 734-0344
Enumeration Date
October 26, 2016
Last Updated
November 15, 2022
Sex
Female
Sole Proprietor
No
Certification Date
November 15, 2022
Taxonomies
Physician Assistant (363A00000X)
Other Identifiers
100680300 (FL)