Healthcare Provider Details

I. General information

NPI: 1447754817
Provider Name (Legal Business Name): HANNAH MAY SMITH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2018
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 ELMWOOD AVENUE BOX SURG
ROCHESTER NY
14642-0001
US

IV. Provider business mailing address

601 ELMWOOD AVE. BOX SURG
ROCHESTER NY
14642-8410
US

V. Phone/Fax

Practice location:
  • Phone: 585-275-2723
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number338997
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: