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

J Andrew Fantl Gynecology PC

Organization Gynecology Physician · NPI 1679653448

J Andrew Fantl Gynecology PC is a Gynecology Physician in Smithtown, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
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

222 Middle Country Rd Ste 203
Smithtown, NY 11787
Phone: (631) 979-2842
Fax: (631) 979-2845
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gynecology Physician (primary) Taxonomy 207VG0400X · Licence 1988811 (NY)

Record details

NPI number1679653448
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Fantl — Doctor President · (631) 979-2842
NPI enumeratedOctober 16, 2006
Last updated in NPPESMay 13, 2008
Mailing address222 Middle Country Rd, Suite 203, Smithtown, NY 11787

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