Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 167883 | NY |
N | 207XS0106X | Orthopaedic Hand Surgeon | 167883 | NY |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 167883 | NY |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 167883 | NY |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 167883 | NY |
NPI | 1659362044 |
---|---|
Provider Name | William James Smith |
First Address | Albany, NY 12205-1447 |
Second Address | Albany, NY 12205-1447 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2005 |
Last Update Date | 04/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01236777 | (05) | NY |
E51417 | (02) |