IndividualActive
Connor Smith, RRA
NPI 1649064593 · Radiology Practitioner Assistant · Patchogue, NY
Provider details
- NPI number
- 1649064593
- Entity type
- Individual
- Primary specialty
- Radiology Practitioner AssistantTechnologists, Technicians & Other Technical Service Providers
- Credential
- RRA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 000269 (NY)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
101 Hospital Rd
Patchogue, NY 11772-4870
Phone: (631) 654-7100
Approximate (ZIP-level) locationGet directions
Mailing address
65 Meadowoods Ln Apt 6
Moriches, NY 11955-2002
Registry dates
- Enumerated
- 2025-04-07
- Last updated
- 2025-04-07
- Certified
- 2025-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.