Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 205695 | NY |
NPI | 1679675995 |
---|---|
Provider Name | Dr. Christopher A. Smith |
First Address | Corning, NY 14845-2858 |
Second Address | Horseheads, NY 14845-8120 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/09/2006 |
Last Update Date | 22/09/2020 |