Smith, Thomas Clinton

Smith, Thomas Clinton is an individual health care provider with primary practice located at 47 New Scotland Ave , Albany NY 12208-3412. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Smith, Thomas Clinton can be contacted via phone (518) 262-5196.

Contact Information

Primary practice address
47 New Scotland Ave Albany NY 12208-3412
Phone: (518) 262-5196
Fax: (518) 262-6472
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 170470-1 New York
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 170470-1 New York

Profile Details

NPI number 1134115306
LBN Legal business name Smith, Thomas Clinton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 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 1134115306 NPPES
New York MEDICAID 01041758

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