Individual
DR. MATTHEW SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
3767 DELAWARE AVE, BUFFALO, NY 14217-1040
(716) 874-6175
Mailing address
59 COLONIAL AVE, BUFFALO, NY 14217-1103
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
042173
NY
Other
Enumeration date
08/11/2017
Last updated
08/21/2017
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