Marissa M Smith in Syracuse - Sports Medicine
Marissa M Smith - NPI 1427218833
Marissa M Smith is a Sports Medicine in Syracuse, New York. Marissa M Smith practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Marissa M Smith is 1427218833. The last update date is 2022-11-03.
Marissa M Smith's current location address is 4900 Broad Road, Syracuse, New York. You can contact this provider via phone number 3154925437 and fax number 3154925502. The mailing address for Marissa M Smith is 4900 Broad Road, Syracuse, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marissa M Smith |
|---|---|
| Address | 4900 Broad Road, Syracuse, New York |
| Phone Number | 3154925437 |
| Fax Number | 3154925502 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1427218833 |
|---|---|
| Provider Enumeration Date | 2008-06-10 |
| Last Updated Date | 2022-11-03 |
Provider Mailing Address Detail
| Address | 4900 Broad Road |
|---|---|
| City | Syracuse |
| State | New York (NY) |
| Post Code | 13215 |
| Phone Number | 3154925437 |
| Fax Number | 3154925502 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 2080S0010X |
| Licence No | 50185 |
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Definition: A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experien |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3378998 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Marissa M Smith by the Centers for Medicare & Medicaid Services?
The Marissa M Smith has been issued the NPI (National Provider Identifier) 1427218833 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Marissa M Smith?
The Marissa M Smith is situated at 4900 Broad Road, in the city of Syracuse, state of NY, with the zip code 13215.
What is Marissa M Smith's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Marissa M Smith is Sports Medicine, and the taxonomy code that classifies this field of practice is 2080S0010X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1427218833 to Marissa M Smith?
The Centers for Medicare & Medicaid Services originally issued the 1427218833 to Marissa M Smith on 2008-06-10.
As of what date were the Marissa M Smith's details last updated?
The information pertaining to the Marissa M Smith, including its address, specialty, and other details, was most recently updated on 2022-11-03.
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