MEDICARE: DONALD WOOD SMITH MD PC

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	174400000X	Specialist	0975981	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2769164	OTHER	NY	OXFORD HEALTH PLANS
2	N39557	OTHER	NY	HEALTHNET

General Provider Information

NPI Number	:	1770731358
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DONALD WOOD SMITH MD PC

Provider Business Mailing Address
First Line	:	830 PARK AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10021-2757
Country	:	US
Telephone Number	:	212-744-2224
Fax Number	:	212-751-6330

Provider Business Practice Location Address
First Line	:	830 PARK AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10021-2757
Country	:	US
Telephone Number	:	212-744-2224
Fax Number	:	212-751-6330

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. DONALD WOOD SMITH
Credential	:	M.D.
Telephone Number	:	212-744-2224

Provider Enumeration Date	:	09/08/2008
Last Update Date	:	09/11/2008

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