DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. PETER SMITH, D.P.M.

Active Sole Proprietor

DR. PETER SMITH, D.P.M. is a Podiatrist healthcare provider located in STONY BROOK, New York. NPI 1851361414 is currently active in the NPPES registry. Verify at CMS.

Podiatrist · STONY BROOK, NY

Registration Details

NPI Number
1851361414
Provider Type
Individual
Gender
Male
NPI Issued
Jan 25, 2006 (20.367501456466 yrs)
Last Updated
Feb 12, 2008
Licenses
N004433 (NY)
PD1905 (MA)
Sole Proprietor
Yes

Practice Information

Address
207 HALLOCK RD
SUITE 4
STONY BROOK, NY, 117903033
Browse NY providers · Browse ZIP 11790
Phone
6316892300
Fax
6316892078
Primary Specialty
Podiatrist
213E00000X
Additional Specialty
Sports Medicine Podiatrist

Other Podiatrist Providers in STONY BROOK, NY

Name Credential NPI
DR. JEFFREY A FISHMAN D.P.M. 1356325708
MPEPERA SIMANGO-YIADOM 1902460942
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.