Individual
MR. BRIAN DREW SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 SOUTH AVE, BOX 67, ROCHESTER, NY 14620-2733
(585) 341-6622
(585) 341-8236
Mailing address
1000 SOUTH AVE, BOX 67, ROCHESTER, NY 14620-2733
(585) 341-6622
(585) 341-8236
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
138833
NY
207RH0003X
Hematology & Oncology Physician
Primary
138833
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00782976
—
NY
01
—
0969
BLUE SHIELD
—
Enumeration date
08/08/2006
Last updated
06/29/2023
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