Smutny, Charles Joseph
Smutny, Charles Joseph is an sole proprietor health care provider with primary practice located at 717 Larkfield Rd , Commack NY 11725-2600. He recently has 6 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Education, Other Service Providers / Acupuncturist, Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine, Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM is his primary health care specialty. Smutny, Charles Joseph can be contacted via phone (631) 486-4720.Contact Information
Primary practice address
717 Larkfield Rd
Commack NY 11725-2600
Phone: (631) 486-4720
Fax: (631) 486-4722
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Nutrition, Education | 133NN1002X | 206232 | New York |
| Other Service Providers / Acupuncturist | 171100000X | 206232 | New York |
| Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine | 204C00000X | 206232 | New York |
| Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM | 204D00000X | 206232 | New York |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 206232 | New York |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 206232 | New York |
Profile Details
| NPI number | 1912962473 |
|---|---|
| LBN Legal business name | Smutny, Charles Joseph |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 19th, 2006 |
| Last updated | Sep 4th, 2014 - about 12 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 | 1912962473 | NPPES |
| New York | Other | 1912962473 | INDIVIDUAL NPI |
| New York | Other | WEN311 | INDIVIDUAL NPI |
| New York | Other | 01V30EN311 | INDIVIDUAL NPI |
| New York | Other | 1639358799 | INDIVIDUAL NPI |
| New York | Other | 206232 | INDIVIDUAL NPI |
| New York | Other | 01V30EN311 | INDIVIDUAL NPI |
| New York | Other | 62296658 | INDIVIDUAL NPI |
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