Smith, Derek W

Smith, Derek W is an individual health care provider with primary practice located at 100 Park St Glens Falls Hospital, Glens Falls NY 12801-4413. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Smith, Derek W can be contacted via phone (518) 926-5918.

Contact Information

Primary practice address
100 Park St Glens Falls Hospital Glens Falls NY 12801-4413
Phone: (518) 926-5918
Fax: (518) 926-5917
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 259419 New York

Profile Details

NPI number 1639279912
LBN Legal business name Smith, Derek W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Jun 5th, 2012 - about 12 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 1639279912 NPPES
New York MEDICAID 03391173

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