Individual
DR. JOANNA SMIROLDO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
179 N BELLE MEAD RD, EAST SETAUKET, NY 11733-3456
(631) 444-2599
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 444-2599
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
192290
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01658951
—
NY
01
—
516432
EMPIRE BC/BS
NY
01
—
5530210
AETNA
NY
Enumeration date
06/07/2006
Last updated
07/08/2007
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