Individual
DR. CARROLL RUDOLPH SMITH III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2201 HEMPSTEAD TPKE, EAST MEADOW, NY 11554-1859
(516) 572-0123
Mailing address
2201 HEMPSTEAD TPKE, EAST MEADOW, NY 11554-1859
(516) 651-6665
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
39291
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
03/29/2013
Last updated
05/18/2016
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