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Individual

DR. DANIEL T SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
8132B OSWEGO RD, LIVERPOOL, NY 13090-1500
(315) 546-0285
(315) 546-0289
Mailing address
8132B OSWEGO RD, LIVERPOOL, NY 13090-1500
(315) 546-0285
(315) 546-0289

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N005860
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02299154
NY
01
J400001535
MEDICARE PTAN
NY
Enumeration date
10/06/2006
Last updated
08/24/2016
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