Individual
PHILIP SHERIDAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
164 WILLOW AVE, CORNWALL, NY 12518-1329
(845) 534-8271
(845) 534-8145
Mailing address
164 WILLOW AVE, CORNWALL, NY 12518-1329
(845) 534-8271
(845) 534-8145
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
144650
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00966629
—
NY
01
—
75D541
EMPIRE BC/BS
NY
Enumeration date
07/19/2005
Last updated
01/16/2014
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