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Contact Information

ELIZABETH A SMALL, MD
775 PARK AVE
HUNTINGTON, NY11743-3976
 Phone: 631-659-4050
 Fax: 631-659-4099
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for ELIZABETH A SMALL · (Female)

NPI # 1922018357
Status Active
Credentials MD
Entity Individual
Enumeration date 08/08/2006
Last updated 09/29/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 178990-1
  • NY Medicaid 01464039
  • NY Other 92K881 BLUE CROSS/ BLUE SHIELD
  • NY Other 0400986 GHI
  • NY Other 2C4865 HEALTHNET
  • NY Other CS493 OXFORD
Hospital affiliation(s)
  • HUNTINGTON HOSPITAL - (Acute Care)
    270 PARK AVENUE
    HUNTINGTON, NY 11743
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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