Healthcare Provider Details

I. General information

NPI: 1831159649
Provider Name (Legal Business Name): ANTHONY MING SZEMA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: ANTHONY MING SZEMA M.D.

II. Dates (important events)

Enumeration Date: 03/24/2006
Last Update Date: 11/22/2022
Certification Date: 11/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3771 NESCONSET HWY SUITE 105
SOUTH SETAUKET NY
11720-1163
US

IV. Provider business mailing address

3771 NESCONSET HWY SUITE 105
SOUTH SETAUKET NY
11720-1163
US

V. Phone/Fax

Practice location:
  • Phone: 631-675-6474
  • Fax: 631-675-6475
Mailing address:
  • Phone: 631-675-6474
  • Fax: 631-675-6475

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1744R1102X
TaxonomyResearch Study Specialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License Number194679
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number194679
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number194679
License Number StateNY
# 5
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number194679
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: