Smith, Michael Vincent

Smith, Michael Vincent is an individual health care provider with primary practice located at 501 Franklin Avenue , Garden City NY 11530. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Smith, Michael Vincent can be contacted via phone (516) 214-8944.

Contact Information

Primary practice address
501 Franklin Avenue Garden City NY 11530
Phone: (516) 214-8944
Fax: (516) 307-5853
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 32056 Georgia
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 183341 New York

Profile Details

NPI number 1215939624
LBN Legal business name Smith, Michael Vincent
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Oct 30th, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215939624 NPPES
Georgia MEDICAID 00400551D

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