Search › New York › 2255A2300X
Matt Smith, LAT, ATC
NPI 1124481601 · on the registry since 2016 · sole proprietor
Practice
- Address
- 3261 W State Rd
Saint Bonaventure, NY 14778 - Phone
- (716) 375-2230
- Organisation at this address
- St. Bonaventure University
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 13
Additional practice sites
- 1604 Wilhoit Ave, Lewis Center, OH
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 390200000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-12-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York