Provider Demographics
NPI:1881689222
Name:SMITH, STEVEN D (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:D
Last Name:SMITH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:150 E 42ND ST FL 9
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-5699
Mailing Address - Country:US
Mailing Address - Phone:646-605-8188
Mailing Address - Fax:212-523-7410
Practice Address - Street 1:1090 AMSTERDAM AVE
Practice Address - Street 2:10TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-1737
Practice Address - Country:US
Practice Address - Phone:212-961-5530
Practice Address - Fax:212-531-7650
Is Sole Proprietor?:No
Enumeration Date:2005-09-13
Last Update Date:2019-05-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY194232207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01765544Medicaid
NY01765544Medicaid
NY24N761Medicare ID - Type Unspecified