Peter Smith is a Sports Medicine in Stony Brook, New York. Peter Smith practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Peter Smith is 1851361414. The last update date is 2008-02-12.
Peter Smith's current location address is 207 Hallock Rd, Stony Brook, New York. You can contact this provider via phone number 6316892300 and fax number 6316892078. The mailing address for Peter Smith is 207 Hallock Rd, Stony Brook, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peter Smith |
|---|---|
| Address | 207 Hallock Rd, Stony Brook, New York |
| Phone Number | 6316892300 |
| Fax Number | 6316892078 |
| Sole Proprietor | Y |
| Credentials | D.P.M. |
NPI Number Detail
| NPI Number | 1851361414 |
|---|---|
| Provider Enumeration Date | 2006-01-25 |
| Last Updated Date | 2008-02-12 |
Provider Mailing Address Detail
| Address | 207 Hallock Rd |
|---|---|
| City | Stony Brook |
| State | New York (NY) |
| Post Code | 117903033 |
| Phone Number | 6316892300 |
| Fax Number | 6316892078 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 213Es0000X |
| Licence No | PD1905 |
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Definition: A doctor of podiatric medicine who focuses on treating athletic injuries related to the lower extremities. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P1911509 | NY | OXFORD | |
| 1895183 | NY | -- | |
| PO 44330 | NY | WORKERS COMPENSATION | |
| NYB002451 | NY | SUBMITTER ID | |
| 6364966004 | NY | CIGNA | |
| 10259 | NY | VYTRA |
Post Comment/ Review Below
What is the Peter Smith's unique identification number?
The Peter Smith has been assigned the NPI (National Provider Identifier) Number 1851361414 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Peter Smith is geographically located?
The Peter Smith is physically situated at the following location: 207 Hallock Rd, Stony Brook, NY, 117903033.
What is Peter Smith's specialized field of practice, and what is the corresponding taxonomy classification code?
The Peter Smith's area of specialization is Sports Medicine, and the corresponding taxonomy code that categorizes this field of practice is 213Es0000X.
When did the Peter Smith receive its 1851361414?
The Peter Smith was issued its 1851361414 on 2006-01-25, which is the date when the organization was assigned this unique identifier.
When was the information regarding Peter Smith, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Peter Smith, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-02-12.