Individual
DR. DEANE E SMITH III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
530 1ST AVE STE 4K, NEW YORK, NY 10016-6402
(646) 501-0151
Mailing address
PO BOX 27036, NEW YORK, NY 10087-7036
(212) 342-3892
(212) 342-5262
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
256517
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03613898
—
NY
Enumeration date
04/20/2010
Last updated
04/02/2021
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