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1528105095
JEANNINE R. SMITH
STONY BROOK, NY
NPI
1528105095
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 003338-1)
Enumeration Date
2007-01-31
Last Update Date
2010-07-16
Business Address
-- JEANNINE R. SMITH P.A.
100 PATRIOTS RD
STONY BROOK, NY 11790-3318
Phone number: 631-444-8608
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Mailing Address
-- JEANNINE R. SMITH P.A.
100 PATRIOTS RD
STONY BROOK, NY 11790-3318
Phone number: 631-444-8608
Copy
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