Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

An Physician Assistant PC

Organization Physician Assistant · NPI 1609456649

An Physician Assistant PC provides Physician Assistant services in Smithtown, New York. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

6 Colony Ct
Smithtown, NY 11787-2507
Phone: (631) 255-9551
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1609456649
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alexander Niyazov — Physician Assistant · (631) 255-9551
NPI enumeratedApril 13, 2021
Last updated in NPPESApril 14, 2021
Certification dateApril 14, 2021
Mailing address6 Colony Ct, Smithtown, NY 11787-2507

Other providers in Smithtown