| Doctor Name: | LAWRENCE A. SMILEY |
| NPI Number: | 1275758526 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 158862 |
| Business Practice Address: | 99 Jericho Tpke Suite 202 Jericho, NY - 117531073 |
| Business Phone Number: | 5164424444 |
| Business Fax Number: | |
| Mailing Address: | 1 Jackson Lane, GLEN COVE |
| State: | NY |
| Postal Code: | 115429652 |
| Phone Number: | 5164963336 |
| Fax Number: | 5164968858 |
| NPI Enumeration Date: | 04/13/2007 |
| NPI Last Update Date: | 03/07/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 158862 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |