Provider Demographics
NPI:1093802605
Name:WOOD-SMITH, DONALD (MD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:
Last Name:WOOD-SMITH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:DONALD
Other - Middle Name:
Other - Last Name:WOOD-SMITH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:77 WORTH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-3411
Mailing Address - Country:US
Mailing Address - Phone:212-744-2224
Mailing Address - Fax:212-966-6295
Practice Address - Street 1:77 WORTH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-3411
Practice Address - Country:US
Practice Address - Phone:212-744-2224
Practice Address - Fax:212-966-6295
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2016-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0975981208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN39557OtherHEALTHNET
NY2769164OtherOXFORD HEALTH PLANS
NY918311Medicare ID - Type UnspecifiedEMPIRE/MEDICARE PART B
NY918311Medicare PIN