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Dr. Peter Smith, DPM
Sports Medicine Podiatrist in Stony Brook, New York
NPI 1851361414

Peter Smith is a Sports Medicine Podiatrist based in Stony Brook, NY and is specialized in Sports Medicine. Peter Smith practices in Stony Brook, NY and has the professional credentials of DPM. The NPI Number for Peter Smith is 1851361414 and holds a License No. N004433 (New York).

The current practice location address for Peter Smith 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
person
Provider Profile Details
NPI Number
1851361414
Provider Name
Peter Smith
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
207 Hallock Rd, Stony Brook, NY, 11790-3033
Phone Number
631-689-2300
Fax Number
631-689-2078
Provider Enumeration Date
01/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P1911509 01 NY OXFORD
01895183 05 NY
PO 44330 01 NY WORKERS COMPENSATION
NYB002451 01 NY SUBMITTER ID
6364966004 01 NY CIGNA
10259 01 NY VYTRA
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
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
PD1905 (Massachusetts)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Sports Medicine
Taxonomy
213ES0000X
License No.
N004433 (New York)
Definition
Definition to come...
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