OrganizationActive
25a Medical
NPI 1225748494 · Pulmonary Disease Physician · Central Islip, NY
Provider details
- NPI number
- 1225748494
- Entity type
- Organization
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Anthony Theodoris, Owner
Practice location
100 W Suffolk Avenue Unit G
Central Islip, NY 11722-2430
Phone: (631) 993-5400
Fax: (518) 712-1634
Mailing address
100 W Suffolk Avenue Unit G
Central Islip, NY 11722-2430
Registry dates
- Enumerated
- 2022-11-29
- Last updated
- 2022-11-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.