25A Medical
25A Medical is a Pulmonary Disease Physician in Central Islip, New York. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
100 W Suffolk Ave Unit GCentral Islip, NY 11722-2430
Phone: (631) 993-5400
Fax: (518) 712-1634
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Specialties & licences
| Pulmonary Disease Physician (primary) | Taxonomy 207RP1001X |
|---|---|
| Medical Physician Assistant | Taxonomy 363AM0700X |
Record details
| NPI number | 1225748494 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Anthony Theodoris — Owner · (631) 993-5400 |
| NPI enumerated | November 29, 2022 |
| Last updated in NPPES | November 29, 2022 |
| Certification date | November 23, 2022 |
| Mailing address | 100 W Suffolk Avenue Unit G, Central Islip, NY 11722-2430 |