Individual
DR. STEPHEN SMIRLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1000 HIGH ST, PORT CHESTER, NY 10573-4402
(917) 747-1749
(718) 724-1889
Mailing address
136A SUNFLOWER DR, LAKEWOOD, NJ 08701-2461
(917) 747-1749
(718) 724-1889
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
25MD00166100
NJ
213ES0131X
Foot Surgery Podiatrist
Primary
N0022322
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00413369
—
NY
05
—
8828369
—
NJ
Enumeration date
06/13/2006
Last updated
01/19/2021
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