Smith, Courtney G

Smith, Courtney G is an individual health care provider with primary practice located at 705 Maple Rd Ste 300 , Amherst NY 14221-3291. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Smith, Courtney G can be contacted via phone (716) 710-8266.

Contact Information

Primary practice address
705 Maple Rd Ste 300 Amherst NY 14221-3291
Fax: (716) 710-8267
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 306075 New York

Profile Details

NPI number 1467717454
LBN Legal business name Smith, Courtney G
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2012
Last updated Oct 2nd, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467717454 NPPES
New York MEDICAID 03841229

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