Dr ANTHONY C THEODORIS MD is a male medical professional, specializing in Pulmonary Disease. He graduated in 1998.
SUFFOLK CRITICAL CARE ASSOCIATES, LLP
60 N COUNTRY RD
SUITE 203
PORT JEFFERSON
NY
117772188
Tel: 6315091888
| Npi | 1578675971 |
| Pac Id | 3375525934 |
| Professional Enrollment Id | I20040607000454 |
| Last Name | THEODORIS |
| First Name | ANTHONY |
| Middle Name | C |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | OTHER |
| Graduation Year | 1998 |
| Primary Specialty | PULMONARY DISEASE |
| Secondary Specialty 1 | CRITICAL CARE (INTENSIVISTS) |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | CRITICAL CARE (INTENSIVISTS) |
| Organization Legal Name | SUFFOLK CRITICAL CARE ASSOCIATES, LLP |
| Group Practice Pac Id | 5193997641 |
| Number Of Group Practice Members | 5 |
| Line 1 Street Address | 60 N COUNTRY RD |
| Line 2 Street Address | SUITE 203 |
| Marker Of Address Line 2 Suppression | |
| City | PORT JEFFERSON |
| State | NY |
| Zip Code | 117772188 |
| Phone Number | 6315091888 |
| Hospital Affiliation Ccn 1 | 330246 |
| Hospital Affiliation Lbn 1 | ST CHARLES HOSPITAL |
| Hospital Affiliation Ccn 2 | 330185 |
| Hospital Affiliation Lbn 2 | JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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