Individual
JEMILLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2015 GRAND CONCOURSE, BRONX, NY 10453-4303
(718) 299-7295
(718) 299-6797
Mailing address
3198 GRAND CONCOURSE, BRONX, NY 10458-1000
(718) 618-0401
(718) 795-4394
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
268111-1
NY
208D00000X
General Practice Physician
Primary
268111
NY
Other
Enumeration date
07/13/2007
Last updated
04/08/2016
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