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:
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Health care specialties

SpecialtyCodeLicense #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 14 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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