Individual
KLINT JOSHUA SMART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
506 LENOX AVE # MLK11101, NEW YORK, NY 10037-1802
(212) 939-1641
Mailing address
2484 7TH AVE APT 2, NEW YORK, NY 10030-1366
(347) 833-1705
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
32017
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/30/2017
Last updated
09/27/2023
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