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Individual

DR. STEPHEN PETER SMITH

Active
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Individual

DR. STEPHEN PETER SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
197984
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010265802
UNIVERA
NY
01
—
000523505002
BLUECROSS BLUESHIELD WNY
NY
05
—
01534270
—
NY
01
—
0406865
INDEPENDENT HEALTH
NY
Enumeration date
10/11/2006
Last updated
09/27/2007
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