SearchNew YorkPhysician Assistant

Nikita Shmyrin

NPI 1477273613 · on the registry since 2022

Practice

Address
21 Valley Rd
Stony Brook, NY 11790
Phone
(516) 595-4252
Clinicians at this address
2

Registry record

Primary taxonomy
Physician Assistant
363A00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-08-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York