Individual
DR. EMILY E SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
80 E MAIN ST, CANTON, NY 13617-1450
(315) 261-5615
(315) 261-7183
Mailing address
50 LEROY ST, POTSDAM, NY 13676-1786
(315) 265-3300
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
283970
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/18/2013
Last updated
11/03/2016
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