National Provider Identifier
Krista M Smith, PA-C
Krista M Smith, PA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Rochester, NY and a listed phone number of (585) 723-7705.
Profile Overview
- NPI
- 1972836609
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- September 14, 2009
- Last Updated
- July 06, 2017
Practice Location
- 2655 Ridgeway Ave
- Suite 440
- Rochester, NY 14626-4296
Phone: (585) 723-7705
Specialties
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1972836609
- Entity Type
- Individual
- Last Name
- Smith
- First Name
- Krista
- Middle Name
- M
- Credential
- PA-C
- Mailing Street Address
- 2655 Ridgeway Ave
- Mailing Address Line 2
- Suite 440
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14626-4296
- Mailing Country
- US
- Mailing Phone
- (585) 723-7705
- Mailing Fax
- (585) 368-3219
- Practice Street Address
- 2655 Ridgeway Ave
- Practice Address Line 2
- Suite 440
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14626-4296
- Practice Country
- US
- Practice Phone
- (585) 723-7705
- Practice Fax
- (585) 368-3219
- Enumeration Date
- September 14, 2009
- Last Updated
- July 06, 2017
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X)
- Other Identifiers
- 04738863 (NY)