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 ProprietorDR. 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Deactivated NPIs are no longer valid for billing or credentialing.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 RDCOMMACK, NY, 117252600Browse NY providers · Browse ZIP 11725
- Phone
- 6314864720
- Fax
- 6314864722
- Primary Specialty
-
Electrodiagnostic Medicine
204D00000X
- Additional Specialty
- Acupuncturist
- Additional Specialty
- Neuromusculoskeletal Medicine & OMM
- 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.