Individual
DR. AMANDA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-9158
Mailing address
1 EDGEWATER ST, SUITE 723, STATEN ISLAND, NY 10305-4900
(718) 226-4324
(718) 226-1039
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
236841
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02667898
—
NY
Enumeration date
12/15/2005
Last updated
05/06/2010
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