NPI 1841263274

Antoun Saba Mitromaras, MD

Practitioner Family Medicine Physician Port Jefferson Station, NY

Practice location

Address: 509 Route 112, Port Jefferson Station, NY 11776
Phone: (631) 331-1100
Mailing address: 509 Patchogue Rd, Port Jefferson Station, NY 11776-1006

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 185255 (NY)

Other Family Medicine providers in New York →

Registry record

NPI: 1841263274
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Feb 2006
Record last updated: 13 Dec 2010

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.