Smith, Jeannine R.
Smith, Jeannine R. is an individual health care provider with primary practice located at 100 Patriots Rd , Stony Brook NY 11790-3318. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Smith, Jeannine R. can be contacted via phone (631) 444-8608.Contact Information
Primary practice address
100 Patriots Rd
Stony Brook NY 11790-3318
Phone: (631) 444-8608
Fax: (631) 444-8778
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 003338-1 | New York |
Profile Details
| NPI number | 1528105095 |
|---|---|
| LBN Legal business name | Smith, Jeannine R. |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2007 |
| Last updated | Jul 16th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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