| Doctor Name: | MR. RALPH KURT SMITH |
| NPI Number: | 1033216445 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MS ED. CRC |
| License Number: | |
| Business Practice Address: | 79 Middleville Rd Vamc 116b-vr Northport, NY - 117682200 |
| Business Phone Number: | 6312614400 |
| Business Fax Number: | 6312666011 |
| Mailing Address: | 158 W 21st St, HUNTINGTON STATION |
| State: | NY |
| Postal Code: | 117462122 |
| Phone Number: | 6314276146 |
| Fax Number: | |
| NPI Enumeration Date: | 09/20/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |