Individual
DR. SCOTT MICHAEL SMUKALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
555 MADISON AVE FL 2, NEW YORK, NY 10022-3418
(646) 754-2000
Mailing address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-5506
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
267953
NY
390200000X
Student in an Organized Health Care Education/Training Program
267953
NY
Other
Enumeration date
05/10/2011
Last updated
04/02/2021
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