Individual
JACOB W SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 ELMWOOD AVE, BOX 604, ROCHESTER, NY 14642-0001
(585) 275-1384
(585) 276-0122
Mailing address
71 NOTTINGHAM RD, ROCHESTER, NY 14610-1445
(585) 275-1384
(585) 276-0122
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
259377
NY
Other
Enumeration date
07/27/2006
Last updated
07/03/2012
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