Desiree J Smith, DC | |
2000 Winton Rd S, Bldg 3 Ste 100, Rochester, NY 14618-3970 | |
(585) 440-4901 | |
(585) 448-0054 |
Full Name | Desiree J Smith |
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Gender | Female |
Speciality | Chiropractor |
Location | 2000 Winton Rd S, Rochester, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912600164 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 013704 (New York) | Primary |
Provider Name | Jason Thomas Swinton Dc Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1649862749 PECOS PAC ID: 4385059385 Enrollment ID: O20210225002395 |
Mailing Address | Practice Location Address |
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Desiree J Smith, DC 2000 Winton Rd S, Bldg 3 Ste 100, Rochester, NY 14618-3970 Ph: (585) 440-4901 | Desiree J Smith, DC 2000 Winton Rd S, Bldg 3 Ste 100, Rochester, NY 14618-3970 Ph: (585) 440-4901 |
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