Austin Replogle
Physician Assistant in Smithtown, NY. Individual provider (NPI-1).
NPI number1831840586
StatusActive
Last updated in NPPESMar 14, 2024
Details
- NPI
- 1831840586
- Entity type
- Individual (NPI-1)
- Name
- Austin Replogle
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 14, 2022
- Certification date
- Mar 14, 2024
- Last updated
- Mar 14, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 028284 | NY | Yes |
Practice location
994 W Jericho Tpke Ste 104Smithtown, NY 11787-3211
Phone 631-543-1440
Mailing address
994 W Jericho Tpke Ste 104Smithtown, NY 11787-3211
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