Organization
SMB MEDICAL, P.C.
Active
Organization
SMB MEDICAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE MIRIAM BAYNER M.D. (OWNER)
(718) 760-2800
Entity
Organization
Contact information
Practice address
5901 94TH ST, STE. E10, ELMHURST, NY 11373-5049
(718) 271-3548
Mailing address
9522 63RD RD, #531, REGO PARK, NY 11374-1142
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
231488
NY
Other
Enumeration date
08/31/2012
Last updated
08/31/2012
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