Individual
DAVID ROBERT SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
90 PRESIDENTIAL PLZ, 3RD FLOOR, SYRACUSE, NY 13202-2240
(315) 464-4357
(315) 464-2030
Mailing address
90 PRESIDENTIAL PLZ, 3RD FLOOR, SYRACUSE, NY 13202-2240
(315) 464-4357
(315) 464-2030
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
241710-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02839889
—
NY
Enumeration date
11/17/2005
Last updated
06/24/2010
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