Organization
PETER SMITH, DPM, FACFAO, PC
Active
Other names
Peter Smith, DPM, PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER SMITH D.P.M. (PRESIDENT)
(631) 689-2300
Entity
Organization
Contact information
Practice address
207 HALLOCK RD, SUITE 4, STONY BROOK, NY 11790-3033
(631) 689-2300
(631) 689-2078
Mailing address
207 HALLOCK RD, SUITE 4, STONY BROOK, NY 11790-3033
(631) 689-2300
(631) 689-2078
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
3922830001
NY
335E00000X
Prosthetic/Orthotic Supplier
3922830001
NY
Other
Enumeration date
03/12/2008
Last updated
04/10/2008
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