Individual
PHILLIP DEAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030
(516) 562-0100
Mailing address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
291087
NY
2086S0102X
Surgical Critical Care Physician
291087
NY
2086S0127X
Trauma Surgery Physician
291087
NY
Other
Enumeration date
11/06/2007
Last updated
05/14/2018
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