DERRICK SMITH
NPI 1184384117
Specialist in Bronx, NY
Active since December 17, 2021
About Derrick Smith NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DERRICK SMITH (NPI 1184384117) is an individual specialist in Bronx, New York, licensed in New York (1526590211) and active in the NPI registry since December 2021.
NPPES Registry Identity
NPI1184384117
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDERRICK SMITH
Location Address530 TINTON AVEBronx, NY 10455-4516
Mailing Address530 Tinton AveBronx, NY 10455-4516 · (646) 231-1764
Phone(646) 231-1764
Sole ProprietorNo
Enumeration DateDecember 17, 2021
Last NPPES UpdateSeptember 2, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2022
✔ NPI 1184384117 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 1526590211
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
530 TINTON AVE, Bronx, NY 10455
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184384117, enumerated as an "individual" on December 17, 2021.
The provider is located at 530 TINTON AVE BRONX, NY 10455 and the phone number is (646) 231-1764.
Specialist with taxonomy code 174400000X.
