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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARITZA LASTRA GROTH, MD

Active

MARITZA LASTRA GROTH, MD is a Pulmonary Disease healthcare provider located in PORT JEFFERSON, New York. NPI 1306908314 is currently active in the NPPES registry. Verify at CMS.

Pulmonary Disease · PORT JEFFERSON, NY

Registration Details

NPI Number
1306908314
Provider Type
Individual
Gender
Female
NPI Issued
Dec 15, 2006 (19.686008657237 yrs)
Last Updated
Feb 14, 2013
Licenses
159478 (NY)
159478 (NY)
159478 (NY)

Practice Information

Address
70 N COUNTRY RD
SUITE 101
PORT JEFFERSON, NY, 117772161
Browse NY providers · Browse ZIP 11777
Phone
6314730037
Fax
6314730228
Primary Specialty
Pulmonary Disease
207RP1001X
Additional Specialty
Pulmonary Disease
Additional Specialty
Sports Medicine (IM)

Other Pulmonary Disease Providers in PORT JEFFERSON, NY

Name Credential NPI
JAY M BARBAKOFF MD 1003994260
DR. NICK N PATEL D.O. 1457536377
ANDREW WEBER MD 1922492305
DR. FIORE MASTROIANNI MD 1497141220
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.