| Doctor Name: | MARY ELIZABETH SMITH |
| NPI Number: | 1063599595 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ANP |
| License Number: | F3020031 |
| Business Practice Address: | 4039 Route 219 Suite 101 Salamanca, NY - 147799625 |
| Business Phone Number: | 7169450361 |
| Business Fax Number: | |
| Mailing Address: | 515 Main St, OLEAN |
| State: | NY |
| Postal Code: | 147601513 |
| Phone Number: | 7169450361 |
| Fax Number: | |
| NPI Enumeration Date: | 11/01/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | F3020031 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |