Individual
DR. NEIL WALTER SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
171 W 23RD ST, SUITE 2C, NEW YORK, NY 10011-2496
(212) 337-8866
(718) 816-6913
Mailing address
171 W 23RD ST, SUITE 2C, NEW YORK, NY 10011-2496
(212) 337-8866
(718) 816-6913
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
010132
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01202437
—
NY
Enumeration date
01/11/2006
Last updated
07/08/2007
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