Smith, Edward Fred

Smith, Edward Fred is an individual health care provider with primary practice located at 11 Plaza St W , Brooklyn NY 11217-3706. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Smith, Edward Fred can be contacted via phone (718) 638-2020.

Contact Information

Primary practice address
11 Plaza St W Brooklyn NY 11217-3706
Phone: (718) 638-2020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 168677-1 New York

Profile Details

NPI number 1609813468
LBN Legal business name Smith, Edward Fred
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Jul 8th, 2007 - about 18 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 1609813468 NPPES
New York MEDICAID 01132970

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