Mr Douglas Andrew Smith, RN in Lake Grove, NY

Mr Douglas Andrew Smith, RN is a Registered Nurse based in Lake Grove, New York. Mr Douglas Andrew Smith is licensed to practice in New York (license number 650226) and his current practice location is 6 Cody Pl, Lake Grove, New York. He can be reached at his office (for appointments etc.) via phone at (631) 745-3799.

NPI number for Mr Douglas Andrew Smith is 1871203612 and his current mailing address is 6 Cody Pl, Lake Grove, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1871203612.

Contact Information

	Mr Douglas Andrew Smith, RN
	6 Cody Pl, Lake Grove, NY 11755-2506
	(631) 745-3799
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Douglas Andrew Smith
Gender	Male
Speciality	Registered Nurse
Location	6 Cody Pl, Lake Grove, New York
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1871203612
Provider Enumeration Date: 12/02/2022
Last Update Date: 12/02/2022

Medical Identifiers

Medical identifiers for Mr Douglas Andrew Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871203612	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	650226 (New York)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Douglas Andrew Smith is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Douglas Andrew Smith, RN 6 Cody Pl, Lake Grove, NY 11755-2506 Ph: (631) 745-3799	Mr Douglas Andrew Smith, RN 6 Cody Pl, Lake Grove, NY 11755-2506 Ph: (631) 745-3799

Reviews and Comments

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Mr Douglas Andrew Smith, RN - Registered Nurse in Lake Grove, NY