Individual provider · Type 1 NPI

Kenny Wang, PA

Physician Assistant · Smithtown, NY

NPI number 1366375768 Active

Practice location

50 New York Ave # 25A
Smithtown, NY 11787-3448

Call (904) 372-3943 Map

Fax (904) 212-1618

Mailing address

7751 Belfort Pkwy Ste 120
Jacksonville, FL 32256-6921

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1366375768

Kenny Wang, PA's National Provider Identifier is 1366375768, issued on Jun 4, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Smithtown, NY. The record was last updated on Aug 26, 2026.