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

Jeannine R. Smith, PA

Individual provider Physician Assistant · NPI 1528105095

Jeannine R. Smith, PA is a Physician Assistant in Stony Brook, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

100 Patriots Rd
Stony Brook, NY 11790-3318
Phone: (631) 444-8608
Fax: (631) 444-8778
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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 003338-1 (NY)

Record details

NPI number1528105095
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 31, 2007
Last updated in NPPESJuly 16, 2010

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