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Contact Information

25A MEDICAL
100 W SUFFOLK AVENUE UNIT G
CENTRAL ISLIP, NY11722-2430
 Phone: 631-993-5400
 Fax: 518-712-1634
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for 25A MEDICAL

NPI Number 1225748494
LBN Legal business name 25A MEDICAL
Authorized official ANTHONY THEODORIS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/29/2022
Last updated 11/29/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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