Individual
DR. MARISSA M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4900 BROAD ROAD, SYRACUSE, NY 13215
(315) 492-5437
(315) 492-5502
Mailing address
251 SALINA MEADOWS PKWY STE 100, SYRACUSE, NY 13212-4516
(315) 464-2000
(315) 464-2010
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
050185
CT
208000000X
Pediatrics Physician
Primary
275336
NY
2080S0010X
Pediatric Sports Medicine Physician
050185
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03378998
—
NY
Enumeration date
06/10/2008
Last updated
09/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us