MEDICARE: DR. MICHAEL SMAR 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	207R00000X	Internal Medicine Physician	149408	NY
2	207RC0000X	Cardiovascular Disease Physician	149408	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457349706
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL SMAR MD

Provider Business Mailing Address
First Line	:	155 W MERRICK RD
Second Line	:	STE 101
City	:	FREEPORT
State	:	NY
Zip	:	11520-3743
Country	:	US
Telephone Number	:	516-379-3139
Fax Number	:	516-379-5790

Provider Business Practice Location Address
First Line	:	155 W MERRICK RD
Second Line	:	STE 101
City	:	FREEPORT
State	:	NY
Zip	:	11520-3743
Country	:	US
Telephone Number	:	516-379-3139
Fax Number	:	516-379-5790

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

Provider Enumeration Date	:	10/11/2005
Last Update Date	:	04/15/2008

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Directions to “ DR. MICHAEL SMAR MD” Practice Location

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