IndividualActive
Ian Whiteside, M.D.
NPI 1437560430 · Body Imaging Physician · Port Jefferson, NY
Provider details
- NPI number
- 1437560430
- Entity type
- Individual
- Primary specialty
- Body Imaging PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 303407 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
200 Belle Terre Rd
Port Jefferson, NY 11777-1968
Phone: (631) 474-6000
Approximate (ZIP-level) locationGet directions
Mailing address
2330 Utah Ave Ste 200
El Segundo, CA 90245-4817
Registry dates
- Enumerated
- 2014-05-13
- Last updated
- 2021-07-24
- Certified
- 2021-07-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.