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Peter Smith, Dpm, Facfao, Pc
Prosthetic/Orthotic Supplier in Stony Brook, New York
NPI 1700057262

Peter Smith, Dpm, Facfao, Pc is a Prosthetic/Orthotic Supplier based in Stony Brook, NY. Peter Smith, Dpm, Facfao, Pc practices in Stony Brook, NY. The NPI Number for Peter Smith, Dpm, Facfao, Pc is 1700057262 and holds a License No. 3922830001 (New York).

The current practice location address for Peter Smith, Dpm, Facfao, Pc is 207 Hallock Rd, Stony Brook, NY and can be reached out via phone at 631-689-2300 and via fax at 631-689-2078.

Location: 207 Hallock Rd, Stony Brook, NY, 11790-3033
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700057262
Provider Name
Peter Smith, Dpm, Facfao, Pc
Credential
Provider Entity Type
Organization
Address
207 Hallock Rd, Stony Brook, NY, 11790-3033
Phone Number
631-689-2300
Fax Number
631-689-2078
Provider Enumeration Date
03/12/2008
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
207 Hallock Rd
City
Stony Brook
State
New York
Zip
11790-3033
Phone Number
631-689-2300
Fax Number
631-689-2078
person
Provider Business Mailing Address Details
Address
207 Hallock Rd
City
Stony Brook
State
New York
Zip
11790-3033
Phone Number
631-689-2300
Fax Number
631-689-2078
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
3922830001 (New York)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
3922830001 (New York)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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