Individual provider · Type 1 NPI

Deacon Smith

Student in an Organized Health Care Education/Training Program · Batavia, NY

NPI number 1003726407 Active

Practice location

5130 E Main Street Rd
Batavia, NY 14020-3444

Call (585) 344-1421 Map

Fax (585) 345-3080

Mailing address

7494 Route 237
Byron, NY 14422-9554

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003726407

Deacon Smith's National Provider Identifier is 1003726407, issued on Sep 9, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Batavia, NY. The record was last updated on Sep 9, 2026.