Most Relevant Information
Provider Data
| NPI Number: | 1003815440 |
| Provider Name: | PHILIP SHERIDAN SMITH M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207RI0200X |
| Specialty: | Internal Medicine |
| License Number: | 144650 |
Most Important Dates
| Enumeration Date: | 07/19/2005 |
| Last Updated: | 01/16/2014 |
Provider Practice Location
164 WILLOW AVE
CORNWALL
NY
125181329
Practice Location Phone/Fax
| Phone: | 8455348271 |
| Fax: | 8455348145 |
Provider Mailing Location
164 WILLOW AVE
CORNWALL
NY
125181329
Provider Mailing Phone/Fax
| Phone: | 8455348271 |
| Fax: | 8455348145 |
Suggested EMR
Infectious Disease EMR