Smith, Peter

Smith, Peter is an sole proprietor health care provider with primary practice located at 207 Hallock Rd Suite 4, Stony Brook NY 11790-3033. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Sports Medicine. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Smith, Peter can be contacted via phone (631) 689-2300.

Contact Information

Primary practice address
207 Hallock Rd Suite 4 Stony Brook NY 11790-3033
Phone: (631) 689-2300
Fax: (631) 689-2078
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N004433 New York
Podiatric Medicine & Surgery Service Providers / Sports Medicine 213ES0000X PD1905 Massachusetts

Profile Details

NPI number 1851361414
LBN Legal business name Smith, Peter
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2006
Last updated Feb 12th, 2008 - about 16 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 1851361414 NPPES
New York Other P1911509 OXFORD
New York MEDICAID 01895183 OXFORD
New York Other PO 44330 OXFORD
New York Other NYB002451 OXFORD
New York Other 6364966004 OXFORD
New York Other 10259 OXFORD

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