Individual
DR. ROGER L SMOKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
924 W END AVE APT 93, NEW YORK, NY 10025-3542
(212) 749-7953
(212) 961-9078
Mailing address
924 W END AVE APT 93, NEW YORK, NY 10025-3542
(212) 749-7953
(212) 961-9078
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
112967
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00204715
—
NY
Enumeration date
01/29/2007
Last updated
07/08/2007
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