Individual
DR. THOMAS P SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
960 CENTER RD, WEST SENECA, NY 14224-2332
(716) 674-8502
(716) 674-8504
Mailing address
960 CENTER RD, WEST SENECA, NY 14224-2332
(716) 674-8502
(716) 674-8504
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
179784NY
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010169005
UNIVERA
NY
01
—
000511306008
CB BCBS
NY
05
—
01479267
—
NY
01
—
2109195
IHA
NY
01
—
P00186734
MEDICARE RAILROAD
NY
Enumeration date
12/11/2006
Last updated
03/21/2019
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