Individual
DR. EDWARD FRED SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11 PLAZA ST W, BROOKLYN, NY 11217-3706
(718) 638-2020
Mailing address
11 PLAZA ST W, BROOKLYN, NY 11217-3706
(718) 638-2020
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
168677-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01132970
—
NY
Enumeration date
06/01/2006
Last updated
07/08/2007
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