IndividualActive
Brian Dawson, DPM
NPI 1063763522 · Sports Medicine Podiatrist · Smithtown, NY
Provider details
- NPI number
- 1063763522
- Entity type
- Individual
- Primary specialty
- Sports Medicine PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- Yes
- License
- 65 006511 (NY)
Mailing address
74 Amsterdam Rd
Smithtown, NY 11787-3122
Registry dates
- Enumerated
- 2012-09-25
- Last updated
- 2012-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.