Dr. Nathan W Smith, MD
Pediatrics in Bronx, NY. Individual provider (NPI-1).
NPI number1013594076
StatusActive
Last updated in NPPESDec 29, 2024
Details
- NPI
- 1013594076
- Entity type
- Individual (NPI-1)
- Name
- Dr. Nathan W Smith
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 25, 2021
- Certification date
- Dec 29, 2024
- Last updated
- Dec 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 333910-01 | NY | Yes |
Practice location
111 E 210th StBronx, NY 10467-2401
Phone 718-920-4321
Mailing address
25 Williams Blvd Apt 2fLake Grove, NY 11755-3519
Phone 804-387-3598
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