Individual
JUSTIN REYNARD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1051 RIVERSIDE DR, NEW YORK, NY 10032-1007
(646) 363-6545
(850) 220-1894
Mailing address
2248 BROADWAY # 1708, NEW YORK, NY 10024-5805
(646) 363-6545
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
311974
NY
Other
Enumeration date
04/16/2019
Last updated
07/09/2023
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