NPI 1649064593

Connor Mattingly Smith, RRA

Practitioner Radiology Practitioner Assistant Patchogue, NY

Practice location

Address: 101 Hospital Rd, Patchogue, NY 11772-4870
Phone: (631) 654-7100
Mailing address: 65 Meadowoods Ln APT 6, Moriches, NY 11955-2002

Registered specialties

Radiology Practitioner Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 243U00000X Licence 000269 (NY)

Other Radiology Practitioner Assistant providers in New York →

Registry record

NPI: 1649064593
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Apr 2025
Record last updated: 7 Apr 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.