Smith, David Robert
Smith, David Robert is an individual health care provider with primary practice located at 90 Presidential Plz 3Rd Floor, Syracuse NY 13202-2240. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Smith, David Robert can be contacted via phone (315) 464-4357.Contact Information
Primary practice address
90 Presidential Plz 3Rd Floor
Syracuse NY 13202-2240
Phone: (315) 464-4357
Fax: (315) 464-2030
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 241710-1 | New York |
Profile Details
| NPI number | 1558343285 |
|---|---|
| LBN Legal business name | Smith, David Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2005 |
| Last updated | Jun 24th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558343285 | NPPES |
| New York | MEDICAID | 02839889 |
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