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1427017995
CHARISSE SMITH
BROOKLYN, NY
NPI
1427017995
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 008528)
Enumeration Date
2006-03-22
Last Update Date
2013-10-29
Business Address
-- CHARISSE SMITH PA
451 CLARKSON AVE
BROOKLYN, NY 11203-2054
Phone number: 718-245-4610
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Mailing Address
-- CHARISSE SMITH PA
958 DOWNING RD
VALLEY STREAM, NY 11580-1509
Phone number: 917-974-4524
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