Individual
DR. NATHAN W SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4321
Mailing address
25 WILLIAMS BLVD APT 2F, LAKE GROVE, NY 11755-3519
(804) 387-3598
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
333910-01
NY
Other
Enumeration date
03/25/2021
Last updated
12/29/2024
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