MEDICARE: DR. SIRI R SMITH DC

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
1	111N00000X	Chiropractor	DC27863	CA
2	111N00000X	Chiropractor	X003158-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DC0278630	OTHER	CA	BS

General Provider Information

NPI Number	:	1710927876
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SIRI R SMITH DC

Provider Business Mailing Address
First Line	:	515 MADISON AVE FL 6
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10022-5403
Country	:	US
Telephone Number	:	212-752-6770
Fax Number	:	212-754-0369

Provider Business Practice Location Address
First Line	:	515 MADISON AVE FL 6
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10022-5403
Country	:	US
Telephone Number	:	212-752-6770
Fax Number	:	212-754-0369

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2006
Last Update Date	:	05/28/2025

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Directions to “ DR. SIRI R SMITH DC” Practice Location

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