Smith, Carroll Rudolph

Smith, Carroll Rudolph is an sole proprietor health care provider with primary practice located at 2201 Hempstead Tpke , East Meadow NY 11554-1859. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Smith, Carroll Rudolph can be contacted via phone (516) 572-0123.

Contact Information

Primary practice address
2201 Hempstead Tpke East Meadow NY 11554-1859
Phone: (516) 572-0123
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 39291 South Carolina

Profile Details

NPI number 1154664035
LBN Legal business name Smith, Carroll Rudolph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 29th, 2013
Last updated May 18th, 2016 - about 10 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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