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NPI Code Detail

MEDICARE: DAVID SMOTKIN M.D.

MEDICARE:   DAVID  SMOTKIN  M.D.
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
1207VX0201XGynecologic Oncology Physician196935NY

General Provider Information

NPI Number : 1558494450
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID SMOTKIN M.D.
Provider Business Mailing Address
First Line : 3332 ROCHAMBEAU AVE.
Second Line : CENTENNIAL WOMEN'S CENTER
City : BRONX
State : NY
Zip : 10467
Country : US
Telephone Number : 718-920-4794
Fax Number :
Provider Business Practice Location Address
First Line : 3332 ROCHAMBEAU AVE
Second Line : CENTENNIAL WOMEN'S CENTER
City : BRONX
State : NY
Zip : 10467-2836
Country : US
Telephone Number : 718-920-4794
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2007
Last Update Date : 11/15/2011

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Directions to “ DAVID SMOTKIN M.D.” Practice Location

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