National Provider Identifier
Nicholas A Smith, PA
Nicholas A Smith, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Ithaca, NY and a listed phone number of (607) 274-4296.
Profile Overview
- NPI
- 1851069082
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- September 02, 2021
- Last Updated
- September 02, 2021
Practice Location
- 101 Dates Dr
- Ithaca, NY 14850-1342
Phone: (607) 274-4296
Mailing Address
- 3361 N Shuler RD
- Alpine, NY 14805-9740
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1851069082
- Entity Type
- Individual
- Last Name
- Smith
- First Name
- Nicholas
- Middle Name
- A
- Name Prefix
- Mr.
- Credential
- PA
- Mailing Street Address
- 3361 N Shuler RD
- Mailing City
- Alpine
- Mailing State
- NY
- Mailing ZIP Code
- 14805-9740
- Mailing Country
- US
- Mailing Phone
- (607) 703-9409
- Practice Street Address
- 101 Dates Dr
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1342
- Practice Country
- US
- Practice Phone
- (607) 274-4296
- Enumeration Date
- September 02, 2021
- Last Updated
- September 02, 2021
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- September 02, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)