Individual
BRIAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
1099 JAY ST BLDG J, ROCHESTER, NY 14611-1153
(585) 328-0740
Mailing address
1099 JAY ST BLDG J, ROCHESTER, NY 14611-1153
(585) 328-0740
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/12/2021
Last updated
03/12/2021
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