location
search-icon
person
Dr. Anthony C Theodoris, MD
Pulmonary Disease Physician in Port Jefferson Station, New York
NPI 1578675971

Anthony C Theodoris is a Pulmonary Disease Physician based in East Setauket, NY and is specialized in Pulmonary Disease. Anthony C Theodoris practices in Port Jefferson Station, NY and has the professional credentials of MD. The NPI Number for Anthony C Theodoris is 1578675971 and holds a License No. 221756-1 (New York).

The current practice location address for Anthony C Theodoris is 1500 Route 112 Ste B, Port Jefferson Station, NY and can be reached out via phone at 631-978-7633 and via fax at 631-638-4884.

Location: 1500 Route 112 Ste B, Port Jefferson Station, NY, 11733-6401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578675971
Provider Name
Anthony C Theodoris
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1500 Route 112 Ste B, Port Jefferson Station, NY, 11733-6401
Phone Number
631-978-7633
Fax Number
631-638-4884
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
7V691EC831 01 NY MEDICARE OTHER PIN
02732167 05 NY
institution
Provider Business Practice Location Address Details
Address
1500 Route 112 Ste B
City
Port Jefferson Station
State
New York
Zip
11776-8054
Phone Number
631-978-7633
Fax Number
631-638-4884
person
Provider Business Mailing Address Details
Address
1500 Route 112 Ste B
City
Port Jefferson Station
State
New York
Zip
11776-8054
Phone Number
631-978-7633
Fax Number
631-638-4884
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Pulmonary Disease
Taxonomy
207RP1001X
License No.
221756-1 (New York)
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 lungs.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.