1710071063 NPI number — GARY C. SMITH MD

Table of content: GARY C. SMITH MD (NPI 1710071063)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1710071063 NPI number — GARY C. SMITH MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SMITH
Provider First Name:
GARY
Provider Middle Name:
C.
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1710071063
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
45 LIBERTY ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BATAVIA
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
14020-3207
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
585-343-3688
Provider Business Mailing Address Fax Number:
585-343-5076

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
45 LIBERTY ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BATAVIA
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14020-3207
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
585-343-3688
Provider Business Practice Location Address Fax Number:
585-343-5076
Provider Enumeration Date:
10/03/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  103968 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00463149 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 102142BJ . This is a "PREFERRED CARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 000504122001 . This is a "BLUE CROSS WNY" identifier . This identifiers is of the category "OTHER".
  • Identifier: P0101039681 . This is a "BLUE CHOICE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 161589189 . This is a "TAX ID" identifier . This identifiers is of the category "OTHER".
  • Identifier: 00010168501 . This is a "UNIVERA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000504122001 . This is a "COMMUNITY BLUE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 0403839 . This is a "IHA" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com