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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISS JACQUELYN LONGACRE, PHYSICIAN ASSISTANT

Active Sole Proprietor

MISS JACQUELYN LONGACRE, PHYSICIAN ASSISTANT is a Physician Assistant healthcare provider located in STONY BROOK, New York. NPI 1730749359 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · STONY BROOK, NY

Registration Details

NPI Number
1730749359
Provider Type
Individual
Gender
Female
NPI Issued
Jun 17, 2019 (7.1827489835118 yrs)
Last Updated
Sep 25, 2025
License
027593 (NY)
Sole Proprietor
Yes

Practice Information

Address
STONY BROOK CANCER CENTER -BREAST CARE CTR
LAUTERBUR DRIVE
STONY BROOK, NY, 117948191
Browse NY providers · Browse ZIP 11794
Phone
6314441795
Fax
6314446348
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in STONY BROOK, NY

Name Credential NPI
MS. KAREN RENATE DYBUS RPA 1255334363
ROBERT K. ANSBACH R.P.A.-C 1326041260
ELEANOR S MILLER P.A. 1376519876
MRS. COLLEEN CALANDRA P.A. 1215990593
SUSHMA KAPUR PA 1609817949
MR. RICARDO ARANGUREN P.A. 1154357879
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.