Individual
MR. EDWARD SMITH III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RVS
Contact information
Practice address
1145 E 35TH ST, SUITE# 5M, BROOKLYN, NY 11210-4241
(718) 813-7657
Mailing address
1145 E 35TH ST, SUITE# 5M, BROOKLYN, NY 11210-4241
(718) 813-7657
Taxonomy
Speciality
Code
Description
License number
State
2471V0105X
Vascular Sonography Radiologic Technologist
Primary
00058580
NY
Other
Enumeration date
04/01/2012
Last updated
04/01/2012
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