Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

An Physician Assistant PC

Organization Physician Assistant · NPI 1609456649

An Physician Assistant PC is a Physician Assistant 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.

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Practice location Address checks out

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

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