MEDICARE: ARDEN SMITH DPM

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	213E00000X	Podiatrist	N002991	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	:	1508864752
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARDEN SMITH DPM

Provider Business Mailing Address
First Line	:	55-31 69TH ST
Second Line	:
City	:	MASPETH
State	:	NY
Zip	:	11378-1806
Country	:	US
Telephone Number	:	718-639-0499
Fax Number	:	718-639-2268

Provider Business Practice Location Address
First Line	:	3003 NEW HYDE PARK RD
Second Line	:
City	:	NEW HYDE PARK
State	:	NY
Zip	:	11042-1214
Country	:	US
Telephone Number	:	718-639-0499
Fax Number	:	718-639-2268

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

Provider Enumeration Date	:	07/12/2005
Last Update Date	:	11/19/2009

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Directions to “ ARDEN SMITH DPM” Practice Location

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