Provider Demographics
NPI:1396786828
Name:SMITAS, CATHERINE M (MD)
Entity type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:M
Last Name:SMITAS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:711 TROY SCHENECTADY RD STE 203
Mailing Address - Street 2:
Mailing Address - City:LATHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12110-2461
Mailing Address - Country:US
Mailing Address - Phone:518-782-3700
Mailing Address - Fax:518-782-3799
Practice Address - Street 1:2546 BALLTOWN RD
Practice Address - Street 2:SUITE 200
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12309-1079
Practice Address - Country:US
Practice Address - Phone:518-374-1444
Practice Address - Fax:518-374-0491
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2018-01-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY243987207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY07092000082OtherFIDELIS
NY10124540OtherCDPHP
NY119762OtherGHI/HMO
NY200972OtherSENIOR WHOLE HEALTH
NY3090S1OtherEMPIRE BC
NY7029880OtherAETNA
NY4154017OtherMVP
NY000413103001OtherBSNENY
NY12868537Medicaid
NY07092000082OtherFIDELIS
NY200972OtherSENIOR WHOLE HEALTH