Individual
DR. LIZETTE J SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1090 AMSTERDAM AVE, 4TH FLOOR, NEW YORK, NY 10025-1737
(212) 961-5500
(212) 531-7640
Mailing address
1790 BROADWAY, 3RD FLOOR, NEW YORK, NY 10019-1412
(212) 315-0144
(212) 315-0196
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
225548
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02577324
—
NY
Enumeration date
09/13/2005
Last updated
10/15/2007
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