Organization
SMB MEDICAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE BAYNER MD (OWNER)
(718) 271-3548
Entity
Organization
Contact information
Practice address
9522 63RD RD, 531, REGO PARK, NY 11374-1142
(718) 271-3548
(718) 606-0719
Mailing address
9522 63RD RD, #531, REGO PARK, NY 11374-1142
(718) 271-3548
(718) 606-0719
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
231488
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
231488
LICENSE
NY
Enumeration date
02/13/2008
Last updated
03/02/2011
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