Provider Demographics
NPI:1902962095
Name:SMITH, EARL LAIRD (MD)
Entity Type:Individual
Prefix:DR
First Name:EARL
Middle Name:LAIRD
Last Name:SMITH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1250 BROADWAY
Mailing Address - Street 2:VNSNY HOSPICE CARE, 4TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-3701
Mailing Address - Country:US
Mailing Address - Phone:212-609-7382
Mailing Address - Fax:212-290-0974
Practice Address - Street 1:1250 BROADWAY
Practice Address - Street 2:VNSNY HOSPICE CARE, 4TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-3701
Practice Address - Country:US
Practice Address - Phone:212-609-7382
Practice Address - Fax:212-290-0974
Is Sole Proprietor?:No
Enumeration Date:2006-12-31
Last Update Date:2016-10-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY237108208100000X, 2081H0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081H0002XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationHospice and Palliative Medicine
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation