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Organization

MANTIA MEDICAL ASSOCIATES

Active
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Organization

MANTIA MEDICAL ASSOCIATES

Active
Other names
496 Nesconset Hwy Suite 200 Smithtown NY 11787
Organization subpart
No

Provider details

NPI number
Authorized official
AUGUSTUS MANTIA (MD)
(631) 265-9111
Entity
Organization

Contact information

Practice address
496 NESCONSET HIGHWAY, STE 200, SMITHTOWN, NY 11787
(631) 265-9111
Mailing address
496 NESCONSET HIGHWAY, STE 200, SMITHTOWN, NY 11787
(631) 265-9111

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
182606
NY
207R00000X
Internal Medicine Physician
094617
NY
207R00000X
Internal Medicine Physician
124142
NY

Other

Enumeration date
11/28/2006
Last updated
09/11/2025
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