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
Fax: (315) 464-2030
Website:

Health care specialties

SpecialtyCodeLicense #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 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558343285 NPPES
New York MEDICAID 02839889

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