Deborah J. Smith, FNP
Individual provider Active NPI Nurse Practitioner · Dundee, NY
NPI 1659433290 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1659433290
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- F331859 (NY)
- Practice address
- 34 Millard St
Dundee, NY 14837-9777 - Phone
- (607) 243-8059
- NPI assigned
- Dec 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 331859 | NY | MD | Internal Medicine Physician |
| F331859 | NY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soldiers & Sailors Memorial Hospital | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F331859 | NY | Yes |
Addresses
Primary practice location
34 Millard St
Dundee, NY 14837-9777
Mailing address
201 E Main St
Apt. 5
Penn Yan, NY 14527-1603
Other providers in Dundee, NY
- Lynn Rider
- Marie Norma Ritter
- Elizabeth Marie Rogers
- Jennifer Schiavi
- Daniel Paul Shoots
- Soldiers & Sailors Memorial Hospital
- Karlene Marie Stackhouse
- Chelsea Leigh Travis
- Cynthia L Vollmer
- Water Street Pharmacy Inc.
All providers in Dundee, NY · Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.