Individual
MICHAEL LOUIS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
645 MADISON AVE FL 34, NEW YORK, NY 10022-1010
(888) 636-7840
Mailing address
833 CHESTNUT ST STE 520, PHILADELPHIA, PA 19107-4430
(609) 677-7003
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
244016
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02945820
—
NY
Enumeration date
12/19/2006
Last updated
03/23/2021
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