| 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  |