Smith, Beverly D

Smith, Beverly D is an individual health care provider with primary practice located at 620 Madison St , Syracuse NY 13210-2319. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Smith, Beverly D can be contacted via phone (111) 111-1111.

Contact Information

Primary practice address
620 Madison St Syracuse NY 13210-2319
Phone: (111) 111-1111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 251717 New York
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 251717 New York

Profile Details

NPI number 1992833875
LBN Legal business name Smith, Beverly D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2007
Last updated Dec 15th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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