Martha Smith, MD | |
9 Family Practice Dr, Kingston, NY 12401-6449 | |
(845) 229-9055 | |
(845) 339-2310 |
Full Name | Martha Smith |
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Gender | Female |
Speciality | Pediatrics |
Location | 9 Family Practice Dr, Kingston, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366493736 | NPI | - | NPPES |
01439885 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 193364 (New York) | Primary |
Entity Name | The Institute For Family Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295729408 PECOS PAC ID: 9234048588 Enrollment ID: O20040417000313 |
Mailing Address | Practice Location Address |
---|---|
Martha Smith, MD 279 Main St, Suite 204, New Paltz, NY 12561-1623 Ph: (845) 255-3046 | Martha Smith, MD 9 Family Practice Dr, Kingston, NY 12401-6449 Ph: (845) 229-9055 |
Michael Ignat, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Family Practice Dr, Kingston, NY 12401 Phone: 845-339-9055 | |
Dr. Catherine Dailey Agricola, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2821 Route 209, Kingston, NY 12401 Phone: 845-510-1870 Fax: 845-510-1872 | |
Mercedes Lat, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Family Practice Dr, Kingston, NY 12401 Phone: 845-339-9055 Fax: 845-339-2310 |