25a Medical
NPI #1225748494 in Central Islip, New York
Provider Information
- NPI Number
- 1225748494
- Entity Type
- Organization
- Organization Name
- 25a Medical
- Primary Specialty
- Internal Medicine - Pulmonary Disease
- Enumeration Date
- Nov 29, 2022
- Last Updated
- Nov 29, 2022
Practice Location
- Address
- 100 W SUFFOLK AVENUE UNIT G
- City
- Central Islip
- State
- New York
- ZIP Code
- 11722-2430
- Phone
- (631) 993-5400
Authorized Official
- Name
- ANTHONY THEODORIS
- Title
- OWNER
- Phone
- (631) 993-5400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
| Internal Medicine - Pulmonary Disease — Pulmonary Disease |
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