Individual
JEREMY D SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1111 ELMWOOD AVE, ROCHESTER, NY 14620-3005
(585) 241-1757
Mailing address
1111 ELMWOOD AVE, ROCHESTER, NY 14620-3005
(585) 241-1757
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
231633-1
NY
2084P0800X
Psychiatry Physician
231633
NY
2084P0800X
Psychiatry Physician
Primary
231633-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02673701
—
NY
Enumeration date
06/14/2006
Last updated
07/05/2023
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