Provider Demographics
NPI:1144655242
Name:SMITH, FRANCIS PATRICK (RN)
Entity type:Individual
Prefix:MR
First Name:FRANCIS
Middle Name:PATRICK
Last Name:SMITH
Suffix:
Gender:M
Credentials:RN
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Other - Last Name:
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Mailing Address - Street 1:313 E WILLOW ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13203-1976
Mailing Address - Country:US
Mailing Address - Phone:315-299-5451
Mailing Address - Fax:
Practice Address - Street 1:313 E WILLOW ST
Practice Address - Street 2:SUITE 203
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13203-1976
Practice Address - Country:US
Practice Address - Phone:315-299-5451
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-08
Last Update Date:2014-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY577481-1367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYJ400118648Medicare UPIN