| David Smith Md | |
|
9 Elm St Peru NY 12972-2812 | |
| (518) 643-7037 | |
| (518) 643-2125 |
| Full Name | David Smith Md |
|---|---|
| Speciality | General Practice |
| Location | 9 Elm St, Peru, New York |
| Authorized Official Name and Position | Vikki Laidman (BILLING MGR) |
| Authorized Official Contact | 5185638290 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David Smith Md Po Box 599 9 Elm Street Peru NY 12972-0599 Ph: (518) 643-7037 | David Smith Md 9 Elm St Peru NY 12972-2812 Ph: (518) 643-7037 |
| NPI Number | 1083862932 |
|---|---|
| Provider Enumeration Date | 09/04/2008 |
| Last Update Date | 09/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083862932 | NPI | - | NPPES |
| 01354865 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 190218 (New York) | Primary |
Peru Family Medicine, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9 Elm St, Peru, NY 12972 Phone: 518-643-7037 Fax: 518-643-2125 |