Provider Demographics
NPI:1295795979
Name:SMITH, DAVID F (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:F
Last Name:SMITH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:32 VALLEY PARK DR
Mailing Address - Street 2:
Mailing Address - City:SPENCERPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14559-1559
Mailing Address - Country:US
Mailing Address - Phone:585-352-6503
Mailing Address - Fax:585-637-3263
Practice Address - Street 1:6076 BROCKPORT SPENCERPORT RD
Practice Address - Street 2:
Practice Address - City:BROCKPORT
Practice Address - State:NY
Practice Address - Zip Code:14420-2602
Practice Address - Country:US
Practice Address - Phone:585-637-3040
Practice Address - Fax:585-637-3263
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-25
Last Update Date:2012-01-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY169538207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY169538-6 (C-O)OtherNYS WORKMANS COMP.
NYP010169538OtherBLUE SHIELD OF ROCHESTER
NY01019052Medicaid
NYP010169538OtherBLUE CHOICE
NYRC60169538OtherDOCTORS HEALTH PLAN
NY00020324001OtherUNIVERA
NY005231231OtherCOMMUNITY BLUE
NY9609398OtherGHI
NY005231231OtherBLUE SHIELD WESTERN NY
NY101176CROtherPREFERRED CARE
NY00020324001OtherUNIVERA
NYC58085Medicare UPIN