Individual
MARK V SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
86 GENESEE ST, NEW HARTFORD, NY 13413-2389
(315) 792-7629
(315) 792-3617
Mailing address
86 GENESEE ST, NEW HARTFORD, NY 13413-2389
(315) 792-7629
(315) 792-3617
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
178548
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01463538
—
NY
Enumeration date
08/04/2005
Last updated
05/08/2013
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