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Contact Information

SHARISSE N SMITH
50 LEROY ST
POTSDAM, NY13676
 Phone: 315-274-9102
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for SHARISSE N SMITH · (Female)

NPI # 1588128284
Status Active
Credentials
Entity Individual
Enumeration date 01/27/2019
Last updated 07/23/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NY License # 028188
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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