MEDICARE: DR. DONALD WOOD-SMITH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208200000X	Plastic Surgery Physician	0975981	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	N39557	OTHER	NY	HEALTHNET
2	2769164	OTHER	NY	OXFORD HEALTH PLANS

General Provider Information

NPI Number	:	1093802605
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DONALD WOOD-SMITH MD

Provider Business Mailing Address
First Line	:	77 WORTH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10013-3411
Country	:	US
Telephone Number	:	212-744-2224
Fax Number	:	212-966-6295

Provider Business Practice Location Address
First Line	:	77 WORTH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10013-3411
Country	:	US
Telephone Number	:	212-744-2224
Fax Number	:	212-966-6295

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2006
Last Update Date	:	02/10/2016

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