License holder summary

SMITH CHARLES M is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for SMITH CHARLES M is CENTERVILLE DE. This doctor license is not current. The license was granted 08/27/1969.

New York

Office of the Professions

SMITH CHARLES M
Medicine (Physician, Including M Ds & D Os)
License number
104589
Date granted
08/27/1969
Class
Medicine (Physician, Including M Ds & D Os)
Status
Inactive
Address
CENTERVILLE DE
nymedicine.org
ID 30282885
LAST UPDATED 2026-03-16 13:32:59 UTC

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