National Provider Identifier

David Irwin Smith, M.D.

David Irwin Smith, M.D. is listed in the NPPES registry with a primary specialty of Pediatrics Physician in Brockport, NY and a listed phone number of (585) 637-3905.

NPI 1568406015Brockport, NYPediatrics Physician

Profile Overview

NPI
1568406015
Provider Type
Individual
Primary Specialty
Pediatrics Physician
Enumeration Date
June 15, 2006
Last Updated
July 08, 2007

Practice Location

  • 300 West Ave
  • Brockport, NY 14420-1118

Phone: (585) 637-3905

Specialties

  • Pediatrics Physician (208000000X)
Full Record
NPI
1568406015
Entity Type
Individual
Last Name
Smith
First Name
David
Middle Name
Irwin
Name Prefix
Dr.
Credential
M.D.
Mailing Street Address
300 West Ave
Mailing City
Brockport
Mailing State
NY
Mailing ZIP Code
14420-1118
Mailing Country
US
Mailing Phone
(585) 637-3905
Mailing Fax
(585) 637-4990
Practice Street Address
300 West Ave
Practice City
Brockport
Practice State
NY
Practice ZIP Code
14420-1118
Practice Country
US
Practice Phone
(585) 637-3905
Practice Fax
(585) 637-4990
Enumeration Date
June 15, 2006
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
X
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatrics Physician (208000000X)
Other Identifiers
000922391002 (NY, Healthnow Bcbswny), 00449087 (NY), 5989093 (NM, Aetna Hmo/Ppo/Pos), 1290855 (NY, Independent Health), 100573DL (NY, Preferred Care)