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General NPI Number Information
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NPI Number | 1528392800
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Entity Type | Individual
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Provider Name | ELIZABETH CATHERINE SMYTH MD
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Gender | Female
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Dates
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Enumeration Date | 09/19/2009
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Last Update Date | 09/19/2009
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Provider Practice Location Address
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Address Line | 1275 YORK AVE MEMORIAL SLOAN KETTERING CANCER CENTRE
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City | NEW YORK
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State | NY
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Zip | 10065-6007
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Country | US
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Telephone | 516-300-2055
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Fax |
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Provider Business Mailing Address
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Address Line | 425 MAIN ST APT 9L
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City | NEW YORK
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State | NY
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Zip | 10044
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Country | US
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Telephone | 516-300-2055
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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 | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | P72614
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License Number State | NY
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