Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | 152575 | NY |
NPI | 1235158155 |
---|---|
Provider Name | Dr. William B Smithy |
First Address | Stony Brook, NY 11790 |
Second Address | East Setauket, NY 11733 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2006 |
Last Update Date | 13/10/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01083485 | (05) | NY |
26E631 | EMPIRE BC.BS (01) | NY |
4515833 | AETNA (01) | NY |
C07426 | (02) | NY |