Individual
DR. ANTOUN SABA MITROMARAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
509 ROUTE 112, PORT JEFFERSON STATION, NY 11776
(631) 331-1100
Mailing address
509 PATCHOGUE RD, PORT JEFFERSON STATION, NY 11776-1006
(631) 331-1100
(631) 331-0223
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
185255
NY
Other
Enumeration date
02/08/2006
Last updated
12/13/2010
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