Individual provider · Type 1 NPI

Jacquelyn Longacre, PHYSICIAN ASSISTANT

Physician Assistant · Stony Brook, NY

NPI number 1730749359 Active

Practice location

Stony Brook Cancer Center -Breast Care Ctr, Lauterbur Drive
Stony Brook, NY 11794-8191

Fax (631) 444-6348

Mailing address

Division Of Breast Surgery Department Of Surgery Health, Department Of Surgery Health Sciences Center T18-060
Stony Brook, NY 11794-8191

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X027593 (NY)

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 1730749359

Jacquelyn Longacre, PHYSICIAN ASSISTANT's National Provider Identifier is 1730749359, issued on Jun 17, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Stony Brook, NY. The record was last updated on Sep 25, 2025.