Anthony C Theodoris in Port Jefferson Stati - Pulmonary Disease
Anthony C Theodoris - NPI 1578675971
Anthony C Theodoris is a Pulmonary Disease in Port Jefferson Stati, New York. Anthony C Theodoris practices all healthcare services and medical treatments related to Pulmonary Disease. The NPI Number for Anthony C Theodoris is 1578675971. The last update date is 2022-04-29.
Anthony C Theodoris's current location address is 1500 Route 112 Ste B, Port Jefferson Stati, New York. You can contact this provider via phone number 6319787633 and fax number 6316384884. The mailing address for Anthony C Theodoris is 1500 Route 112 Ste B, Port Jefferson Stati, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Anthony C Theodoris |
|---|---|
| Address | 1500 Route 112 Ste B, Port Jefferson Stati, New York |
| Phone Number | 6319787633 |
| Fax Number | 6316384884 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1578675971 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2022-04-29 |
Provider Mailing Address Detail
| Address | 1500 Route 112 Ste B |
|---|---|
| City | Port Jefferson Stati |
| State | New York (NY) |
| Post Code | 117768054 |
| Phone Number | 6319787633 |
| Fax Number | 6316384884 |
Provider's Primary Taxonomy Detail
| Speciality | Pulmonary Disease |
|---|---|
| Taxonomy | 207Rp1001X |
| Licence No | 221756-1 |
|
Definition: An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7V691EC831 | NY | MEDICARE OTHER PIN | |
| 2732167 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Anthony C Theodoris by the Centers for Medicare & Medicaid Services?
The Anthony C Theodoris has been assigned the NPI (National Provider Identifier) 1578675971 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Anthony C Theodoris is physically located?
The Anthony C Theodoris is physically situated at the following address: 1500 Route 112 Ste B, Port Jefferson Stati, NY, 117768054.
What is Anthony C Theodoris's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Anthony C Theodoris is Pulmonary Disease, and the taxonomy classification code that categorizes this area of expertise is 207Rp1001X.
On what date did Anthony C Theodoris receive its 1578675971 assignment from the Centers for Medicare & Medicaid Services?
The Anthony C Theodoris was assigned its 1578675971 on 2006-08-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Anthony C Theodoris most recently updated or revised?
The information pertaining to Anthony C Theodoris, including its address, specialty, and other relevant details, was last updated or revised on 2022-04-29.
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