Individual
STEPHEN MICHAEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-3412
(585) 275-1381
Mailing address
601 ELMWOOD AVENUE BOX 648, ROCHESTER, NY 14642-8648
(585) 275-1381
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
311926
NY
367500000X
Certified Registered Nurse Anesthetist
311926
NY
Other
Enumeration date
03/21/2018
Last updated
07/17/2023
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