Organization
PETER SMITH, DPM, FACFAO, PC
Active
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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