Provider Demographics
NPI:1437166485
Name:SMITH, HARRIET OLIVIA (MD)
Entity type:Individual
Prefix:
First Name:HARRIET
Middle Name:OLIVIA
Last Name:SMITH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1695 EASTCHESTER RD
Mailing Address - Street 2:SUITE 601
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-2374
Mailing Address - Country:US
Mailing Address - Phone:718-405-8086
Mailing Address - Fax:718-405-8087
Practice Address - Street 1:1695 EASTCHESTER RD
Practice Address - Street 2:SUITE 601
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-2374
Practice Address - Country:US
Practice Address - Phone:718-405-8086
Practice Address - Fax:718-405-8087
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2011-10-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY186968207VX0201X
NM88267207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYD42253Medicare UPIN