Smith, Mark V
Smith, Mark V is an individual health care provider with primary practice located at 86 Genesee St , New Hartford NY 13413-2389. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Smith, Mark V can be contacted via phone (315) 792-7629.Contact Information
Primary practice address
86 Genesee St
New Hartford NY 13413-2389
Phone: (315) 792-7629
Fax: (315) 792-3617
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 178548 | New York |
Profile Details
| NPI number | 1821099458 |
|---|---|
| LBN Legal business name | Smith, Mark V |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 4th, 2005 |
| Last updated | May 8th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821099458 | NPPES |
| New York | MEDICAID | 01463538 |
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