Individual
RUBEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4295 HEMPSTEAD TPKE, BETHPAGE, NY 11714-5713
(516) 520-2201
Mailing address
164 ARCHER ST, FREEPORT, NY 11520-5036
(516) 378-3560
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
156299
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00869181
—
NY
Enumeration date
07/17/2006
Last updated
07/20/2011
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