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

Abigail L Canaletich

Individual provider Physician Assistant · NPI 1861160459

Abigail L Canaletich is a Physician Assistant in Smithtown, New York. Qualified in 2021, 5 years ago. Practices with Mount Sinai School of Medicine, a 151-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2021
Specialties on file
3
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Practice location Address checks out

9 Mike Ln
Smithtown, NY 11787-2326
Phone: (631) 561-5533
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 02791101 (NY)
Physician Assistant Taxonomy 363A00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (NY)

Record details

NPI number1861160459
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 31, 2021
Last updated in NPPESMay 5, 2022
Certification dateMay 5, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Mount Sinai School Of Medicine — 151 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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