National Provider Identifier
Olivia Smith-Blackwell, MD
Olivia Smith-Blackwell, MD is listed in the NPPES registry with a primary specialty of Family Medicine Physician in North Tonawanda, NY and a listed phone number of (716) 693-0118.
Profile Overview
- NPI
- 1023075918
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- April 26, 2006
- Last Updated
- August 15, 2022
Practice Location
- 601 Division St
- North Tonawanda, NY 14120-4461
Phone: (716) 693-0118
Specialties
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1023075918
- Entity Type
- Individual
- Last Name
- Smith-Blackwell
- First Name
- Olivia
- Credential
- MD
- Mailing Street Address
- 601 Division St
- Mailing City
- North Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14120-4461
- Mailing Country
- US
- Mailing Phone
- (716) 693-0118
- Mailing Fax
- (716) 693-4807
- Practice Street Address
- 601 Division St
- Practice City
- North Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14120-4461
- Practice Country
- US
- Practice Phone
- (716) 693-0118
- Practice Fax
- (716) 693-4807
- Enumeration Date
- April 26, 2006
- Last Updated
- August 15, 2022
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- August 15, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X)
- Other Identifiers
- 01754232 (NY)