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Individual

DR. MICHAEL VINCENT SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
501 FRANKLIN AVENUE, GARDEN CITY, NY 11530
(516) 214-8944
(516) 307-5853
Mailing address
501 FRANKLIN AVENUE, GARDEN CITY, NY 11530
(516) 214-8944
(516) 307-5853

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
183341
NY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
32056
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00400551D
GA
Enumeration date
08/15/2005
Last updated
10/30/2012
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