Organization
BRIAN G SMITH MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NEIL A GRUPPO (ADMINISTRATOR)
(716) 675-5222
Entity
Organization
Contact information
Practice address
3050 ORCHARD PARK ROAD, WEST SENECA, NY 14224
(716) 675-5222
(716) 675-9329
Mailing address
3050 ORCHARD PARK ROAD, WEST SENECA, NY 14224
(716) 675-5222
(716) 675-9329
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
1846081
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01397951
—
NY
Enumeration date
02/26/2007
Last updated
08/22/2020
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