Individual
BARRY L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 UNION SQ E, BETH ISRAEL MED CTR DEPT OF DERMATOLOGY, NEW YORK, NY 10003-3314
(212) 523-3888
Mailing address
150 EAST 42ND STREET, 10TH FLOOR, NEW YORK, NY 10017
(646) 605-8119
(646) 605-3031
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
2177831
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02431643
—
NY
01
—
A400116991
MEDICARE PTAN
NY
Enumeration date
12/08/2005
Last updated
06/08/2016
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