CHANEL TARAE SMITH

BRONX, NY
NPI1215748470
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  033041)
Enumeration Date2025-01-16
Last Update Date2025-01-16
Business Address
MS. CHANEL TARAE SMITH PA
2015 GRAND CONCOURSE
BRONX, NY 10453-4303
Phone number: 718-583-7736
Mailing Address
MS. CHANEL TARAE SMITH PA
2626 HALPERIN AVE
BRONX, NY 10461-2631
Phone number: 718-618-0401