Individual provider · Type 1 NPI

Anthony C. Theodoris, MD

Pulmonary Disease Physician · Port Jefferson Station, NY

NPI number 1578675971 Active

Practice location

1500 Route 112 Ste B
Port Jefferson Station, NY 11776-8054

Call (631) 978-7633 Map

Fax (631) 638-4884

Mailing address

45 Research Way Ste 208A
East Setauket, NY 11733-6401

Specialties and licenses

TaxonomyCodeLicense
Pulmonary Disease Physician Primary 207RP1001X221756-1 (NY)

Pulmonary Disease Physician: 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.

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About NPI 1578675971

Anthony C. Theodoris, MD's National Provider Identifier is 1578675971, issued on Aug 31, 2006. The primary taxonomy on file is Pulmonary Disease Physician (207RP1001X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Apr 29, 2022.