Individual
DR. THOMAS V SMALLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 CHESTNUT CIR, SKANEATELES, NY 13152
(315) 415-0612
(315) 554-8185
Mailing address
3 CHESTNUT CIR, SKANEATELES, NY 13152-1301
(315) 415-0612
(315) 554-8185
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
216518
NY
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
216518-1
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01713895
—
NY
Enumeration date
06/16/2005
Last updated
12/19/2018
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