# MANTIA MEDICAL ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** 496 Nesconset Hwy Suite 200 Smithtown NY 11787
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477629400
- **Authorized official:** AUGUSTUS MANTIA (MD)
- **Authorized official phone:** (631) 265-9111

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 182606 | NY | Yes |
| 207R00000X | Internal Medicine Physician | 094617 | NY | — |
| 207R00000X | Internal Medicine Physician | 124142 | NY | — |

## Other

- **Enumeration date:** 11/28/2006
- **Last updated:** 09/11/2025