Individual
DR. DAVID IRWIN SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 WEST AVE, BROCKPORT, NY 14420-1118
(585) 637-3905
(585) 637-4990
Mailing address
300 WEST AVE, BROCKPORT, NY 14420-1118
(585) 637-3905
(585) 637-4990
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
103348-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000922391002
HEALTHNOW BCBSWNY
NY
05
—
00449087
—
NY
01
—
100573DL
PREFERRED CARE
NY
01
—
1290855
INDEPENDENT HEALTH
NY
01
—
5989093
AETNA HMO/PPO/POS
NM
Enumeration date
06/15/2006
Last updated
07/08/2007
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