Healthcare Provider Details

I. General information

NPI: 1437250198
Provider Name (Legal Business Name): VIRGIL W SMALTZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 PARRISH ST
CANANDAIGUA NY
14424-1793
US

IV. Provider business mailing address

196 NORTH ST GENEVA GENERAL HOSPITAL - EMERGENCY DEPARTMENT
GENEVA NY
14456-1651
US

V. Phone/Fax

Practice location:
  • Phone: 585-396-6000
  • Fax:
Mailing address:
  • Phone: 315-787-4500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number261418
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: