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Contact Information

ANTON O BEITIA, MD
101 NICOLLS RD
STONY BROOK, NY11794-8460
 Phone: 631-444-5400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neuroradiology

2085N0700X
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Diagnostic Ultrasound

2085U0001X
 

Nuclear Radiology

2085N0904X
Indicates primary specialty

NPI Profile & details for ANTON O BEITIA · (Male)

NPI Number 1467530386
Status Active
Credentials MD
Entity Individual
Enumeration date 11/01/2006
Last updated 01/19/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 57519
  • NY License # 189541
  • NY License # 189541-1
  • NY Medicaid 01886355
Hospital affiliation(s)
  • BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER - (Acute Care)
    101 HOSPITAL ROAD
    PATCHOGUE, NY 11772
  • JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON - (Acute Care)
    75 NORTH COUNTRY ROAD
    PORT JEFFERSON, NY 11777
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
  • UNIVERSITY HOSPITAL ( STONY BROOK ) - (Acute Care)
    HEALTH SCIENCES CENTER SUNY
    STONY BROOK, NY 11794
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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