NPI 1003104712

Jennifer Lyles Titus, DO

Practitioner Family Medicine Physician Southampton, NY

Practice location

Address: 435 N Main St, Southampton, NY 11968-2805
Phone: (949) 375-1857
Mailing address: 240 Meeting House Ln, Southampton, NY 11968-5009

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 'STUDENT' (NY)

Other Family Medicine providers in New York →

Registry record

NPI: 1003104712
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Jul 2011
Record last updated: 14 Jul 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.