Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 196935 | NY |
NPI | 1558494450 |
---|---|
Provider Name | David Smotkin |
First Address | Bronx, NY 10467 |
Second Address | Bronx, NY 10467-2836 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/03/2007 |
Last Update Date | 15/11/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A52222 | (02) | NY |