Individual
DEREK W SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 PARK ST, GLENS FALLS HOSPITAL, GLENS FALLS, NY 12801-4413
(518) 926-5918
(518) 926-5917
Mailing address
PO BOX 304, GLENS FALLS, NY 12801-0304
(518) 926-5918
(518) 926-5917
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
259419
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03391173
—
NY
Enumeration date
09/25/2006
Last updated
06/05/2012
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