Provider Demographics
NPI:1528004827
Name:SMITH, LINDA J (RPA-C)
Entity Type:Individual
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First Name:LINDA
Middle Name:J
Last Name:SMITH
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Gender:F
Credentials:RPA-C
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Mailing Address - Street 1:601 ELMWOOD AVE
Mailing Address - Street 2:BOX 665
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14642-0001
Mailing Address - Country:US
Mailing Address - Phone:585-341-7851
Mailing Address - Fax:585-756-4721
Practice Address - Street 1:601 ELMWOOD AVE
Practice Address - Street 2:BOX 665
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14642-0001
Practice Address - Country:US
Practice Address - Phone:585-341-7851
Practice Address - Fax:585-756-4721
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NY002237363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant