Individual
DR. BRIAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
3385 VETERANS MEMORIAL HWY, RONKONKOMA, NY 11779-7660
(631) 676-3111
Mailing address
3385 VETERANS MEMORIAL HWY, RONKONKOMA, NY 11779-7660
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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