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General NPI Number Information
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NPI Number | 1497953517
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Entity Type | Individual
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Provider Name | JOSEPH MALIK SMITH M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/10/2007
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Last Update Date | 08/13/2007
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Provider Practice Location Address
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Address Line | GOOD SAMARITAN HOSPITAL - EMERGENCY DEPARTMENT 255 LAFAYETTE AVENUE
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City | SUFFERN
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State | NY
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Zip | 10901-4869
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Country | US
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Telephone | 845-368-5030
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Fax | 845-368-5931
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Provider Business Mailing Address
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Address Line | 230-B MARY LOU AVENUE
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City | YONKERS
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State | NY
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Zip | 10703-1904
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Country | US
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Telephone | 914-457-2825
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 245226
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License Number State | NY
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