Individual
MARTHA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9 FAMILY PRACTICE DR, KINGSTON, NY 12401-6449
(845) 229-9055
(845) 339-2310
Mailing address
279 MAIN ST, SUITE 204, NEW PALTZ, NY 12561-1623
(845) 255-3046
(845) 255-0236
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
193364
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01439885
—
NY
Enumeration date
05/12/2006
Last updated
12/05/2011
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