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Individual

ERNST SMITH

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3898 SEDGWICK AVE, BRONX, NY 10463-4423
(718) 548-6600
Mailing address
3898 SEDGWICK AVE, BRONX, NY 10463-4423
(718) 548-6600

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
108269
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00191355
NY
Enumeration date
09/27/2005
Last updated
07/08/2007
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