National Provider Identifier Database

PETER SMITH, DPM – NPI #1851361414
Podiatrist

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.


Contact Information

PETER SMITH, DPM
207 HALLOCK RD
SUITE 4
STONY BROOK, NY11790-3033
Phone: 631-689-2300
Fax: 631-689-2078
Website:
Specialty Taxonomy Code
* Podiatrist 213E00000X
Sports Medicine 213ES0000X

* Indicates primary specialty

NPI Profile & details for PETER SMITH

NPI Number 1851361414
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 01/25/2006
Last updated 02/12/2008 - About 18 years ago
Sole proprietor1 Yes
Identifiers
  • MA License #: PD1905
  • NY License #: N004433
  • NY Medicaid: 01895183
  • NY Other: 6364966004 CIGNA
  • NY Other: P1911509 OXFORD
  • NY Other: NYB002451 SUBMITTER ID
  • NY Other: 10259 VYTRA
  • NY Other: PO 44330 WORKERS COMPENSATION
Hospital affiliation n/a

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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