Individual
MR. THOMAS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNPC-AG
Contact information
Practice address
1555 LONG POND RD, ROCHESTER, NY 14626-4122
(585) 723-7000
Mailing address
1555 LONG POND RD, ROCHESTER, NY 14626-4122
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
431743
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
431743
NY
Other
Enumeration date
10/20/2020
Last updated
07/07/2023
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