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

Southwest Suffolk, PC

Organization Family Medicine Physician · NPI 1730428467

Southwest Suffolk, PC is a Family Medicine Physician in Smithtown, New York. Registered with an NPI since 2013.

In the registry since
2013
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

48 Route 25A Ste 210
Smithtown, NY 11787-1431
Phone: (631) 465-6225
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1730428467
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lori Hummel — Director · (631) 465-6001
Other names Siena Proactive Internal Medicine
NPI enumeratedJanuary 31, 2013
Last updated in NPPESJanuary 31, 2013
Mailing address48 Route 25a, Suite 210, Smithtown, NY 11787-1431

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