Smith, J Robert

Smith, J Robert is an individual health care provider with primary practice located at 2200 E Genesee St Suite A, Syracuse NY 13210-2298. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Smith, J Robert can be contacted via phone (315) 472-4584.

Contact Information

Primary practice address
2200 E Genesee St Suite A Syracuse NY 13210-2298
Fax: (315) 472-4620
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 1117791 New York
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 1117792 New York

Profile Details

NPI number 1043206519
LBN Legal business name Smith, J Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated Jul 8th, 2007 - about 17 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 1043206519 NPPES
New York MEDICAID 00508118

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