25A Medical

LBN: 25A Medical
25A Medical is an health care organization with primary practice located at 100 W Suffolk Avenue Unit G , Central Islip NY 11722-2430. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Physician Assistants & Advanced Practice Nursing Providers / Medical. Allopathic & Osteopathic Physicians / Pulmonary Disease is the primary health care specialty. 25A Medical can be contacted via phone (631) 993-5400, or through Theodoris, Anthony via phone (631) 993-5400.

Contact Information

Primary practice address
100 W Suffolk Avenue Unit G Central Islip NY 11722-2430
Phone: (631) 993-5400
Fax: (518) 712-1634
Website:
Map and Directions
Authorized official contact:
Name: Theodoris, Anthony
Phone: (631) 993-5400

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X

Profile Details

NPI number 1225748494
LBN Legal business name 25A Medical
DBA Doing business as
Authorized official Theodoris, Anthony
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2022
Last updated Nov 29th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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