Provider Demographics
NPI:1740424365
Name:PATSIS, THEODORE E (MD)
Entity Type:Individual
Prefix:DR
First Name:THEODORE
Middle Name:E
Last Name:PATSIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:140 CLAY PITTS RD
Mailing Address - Street 2:
Mailing Address - City:GREENLAWN
Mailing Address - State:NY
Mailing Address - Zip Code:11740-2920
Mailing Address - Country:US
Mailing Address - Phone:631-827-1926
Mailing Address - Fax:
Practice Address - Street 1:270 PARK AVE
Practice Address - Street 2:NORTHWELL HEALTH HUNTINGTON HOSPITAL
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-2787
Practice Address - Country:US
Practice Address - Phone:631-351-2255
Practice Address - Fax:631-760-2182
Is Sole Proprietor?:No
Enumeration Date:2009-04-27
Last Update Date:2016-03-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY251723-1208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist