Philip Sheridan Smith
Infectious Disease
164 Willow Ave
Cornwall
, New York 12518-1329
Philip Sheridan Smith
Infectious Disease
164 Willow Ave
Cornwall
, New York 12518-1329
(845) 534-8145
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About
Features
Specialties
- Infectious Disease
Languages spoken
- English
Location
First Address
- Philip Sheridan Smith
- 164 Willow Ave
- Cornwall, NY
- Zip : 12518-1329
- Fax : (845) 534-8145
- Phone : (845) 534-8271
Second Address
- Philip Sheridan Smith
- 164 Willow Ave
- Cornwall, NY
- Zip : 12518-1329
- Fax : (845) 534-8145
- Phone : (845) 534-8271
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RI0200X | Infectious Disease | 144650 | NY |
National Provider Identifier
| NPI | 1003815440 |
|---|---|
| Provider Name | Philip Sheridan Smith |
| First Address | Cornwall, NY 12518-1329 |
| Second Address | Cornwall, NY 12518-1329 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/07/2005 |
| Last Update Date | 16/01/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00966629 | (05) | NY |
| 75D541 | EMPIRE BC/BS (01) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.