Organization · NPI-2

Peter Smith, Dpm, Facfao, PC

Durable Medical Equipment & Medical Supplies · Stony Brook, NY

NPI number1700057262
StatusActive
Last updated in NPPESApr 10, 2008

Details

NPI
1700057262
Entity type
Organization (NPI-2)
Legal business name
Peter Smith, Dpm, Facfao, PC
Organization subpart
No
Enumeration date
Mar 12, 2008
Last updated
Apr 10, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies3922830001NYYes
335E00000X Prosthetic/Orthotic Supplier3922830001NY

Other names

  • Peter Smith, Dpm, PC (Doing Business As)

Practice location

207 Hallock Rd
Suite 4
Stony Brook, NY 11790-3033

Phone 631-689-2300 · Fax 631-689-2078

Mailing address

207 Hallock Rd
Suite 4
Stony Brook, NY 11790-3033

Phone 631-689-2300 · Fax 631-689-2078

Authorized official

Peter Smith
President
6316892300

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