Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207YP0228X | Pediatric Otolaryngology | 035460 | CT |
Y | 207YP0228X | Pediatric Otolaryngology | 266912 | NY |
NPI | 1851397053 |
---|---|
Provider Name | Dr. Howard Gary Smith |
First Address | New York, NY 10023-5930 |
Second Address | New York, NY 10023-5930 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2005 |
Last Update Date | 05/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00135460400 | (05) | CT |
B72761 | (02) |