Dr. Anthony C Theodoris, MD
Dr. Anthony C Theodoris, MD is a Pulmonary Disease in Port Jefferson Station, New York. Qualified in 1998, 28 years ago. Practices with Stony Brook Internists University Faculty Practice Corporation, a 428-clinician group and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 28
- Licensed in
- NY
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1500 Route 112 Ste BPort Jefferson Station, NY 11776-8054
Phone: (631) 978-7633
Fax: (631) 638-4884
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pulmonary Disease Physician (primary) | Taxonomy 207RP1001X · Licence 221756-1 (NY) |
|---|
Record details
| NPI number | 1578675971 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | August 31, 2006 |
| Last updated in NPPES | April 29, 2022 |
| Certification date | April 29, 2022 |
Medicare enrollment
| Medicare specialty | PULMONARY DISEASE |
|---|---|
| Also practises | CRITICAL CARE (INTENSIVISTS) |
| Medical school | OTHER |
| Graduated | 1998 (28 years in practice) |
| Group practice | Stony Brook Internists University Faculty Practice Corporation — 428 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
Other providers in Port Jefferson Station
-
Anish Desai, MD
1500 Route 112 Ste B, Port Jefferson Station, NY 11776-8054 · (631) 978-7633
-
Dr. Keith Webb Harris II, DO
1500 Route 112 Ste B, Port Jefferson Station, NY 11776-8055 · (631) 978-7633
-
Mr. Mario Solomita, DO
1500 Route 112 Ste B, Port Jefferson Station, NY 11776-8055 · (631) 978-7633