Individual
ROBERT HENRY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8900 VAN WYCK EXPY, JAMAICA HOSPITAL MEDICAL CENTER DEPT RADIOLOGY, JAMAICA, NY 11418-2832
(718) 206-6127
(631) 206-7670
Mailing address
8900 VAN WYCK EXPY, JAMAICA HOSPITAL MEDICAL CENTER DEPT RADIOLOGY, JAMAICA, NY 11418-2832
(718) 206-6127
(631) 206-7670
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
187318
NY
2085R0204X
Vascular & Interventional Radiology Physician
Primary
187318
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01444242
—
NY
Enumeration date
04/08/2006
Last updated
03/23/2017
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