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Individual
DR. PETER SMITH
Active
Individual
DR. PETER SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N004433
NY
213ES0000X
Sports Medicine Podiatrist
PD1905
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01895183
—
NY
01
—
10259
VYTRA
NY
01
—
6364966004
CIGNA
NY
01
—
NYB002451
SUBMITTER ID
NY
01
—
P1911509
OXFORD
NY
01
—
PO 44330
WORKERS COMPENSATION
NY
Enumeration date
01/25/2006
Last updated
02/12/2008
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