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

DR. CHARLES JOSEPH SMUTNY III, D.O.

Deactivated Sole Proprietor

DR. CHARLES JOSEPH SMUTNY III, D.O. is a Electrodiagnostic Medicine healthcare provider located in COMMACK, New York. NPI 1912962473 is deactivated in the NPPES registry. Verify at CMS.

Electrodiagnostic Medicine · COMMACK, NY

This NPI has been deactivated. The record was deactivated on February 22, 2011. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1912962473
Provider Type
Individual
Gender
Male
NPI Issued
Apr 19, 2006 (4.8465753424658 yrs)
Last Updated
Sep 4, 2014
Deactivated
Feb 22, 2011
Licenses
206232 (NY)
206232 (NY)
206232 (NY)
206232 (NY)
206232 (NY)
Sole Proprietor
Yes

Practice Information

Address
717 LARKFIELD RD
COMMACK, NY, 117252600
Browse NY providers · Browse ZIP 11725
Phone
6314864720
Fax
6314864722
Primary Specialty
Electrodiagnostic Medicine
204D00000X
Additional Specialty
Acupuncturist
Additional Specialty
Electrodiagnostic Medicine
Additional Specialty
General Practice

Other Electrodiagnostic Medicine Providers in COMMACK, NY

Name Credential NPI
DR. DENISE K BURNS D.O., F.A.A.O. 1275522401
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.