Provider Demographics
NPI:1598849267
Name:THE SMART PILL
Entity Type:Organization
Organization Name:THE SMART PILL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:L
Authorized Official - Last Name:BARTHEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-882-0701
Mailing Address - Street 1:847 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14203-1109
Mailing Address - Country:US
Mailing Address - Phone:716-882-0701
Mailing Address - Fax:716-882-0706
Practice Address - Street 1:847 MAIN ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14203-1109
Practice Address - Country:US
Practice Address - Phone:716-882-0701
Practice Address - Fax:716-882-0706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty