MARITZA LASTRA GROTH

PORT JEFFERSON, NY
NPI1306908314
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RP1001X Internal Medicine, Pulmonary Disease
(Licence: NY  159478)
Additional Taxonomies207RC0200X Internal Medicine, Critical Care Medicine
(Licence: NY  159478)
207RS0012X Internal Medicine, Sleep Medicine
(Licence: NY  159478)
Enumeration Date2006-12-15
Last Update Date2013-02-14
Business Address
-- MARITZA LASTRA GROTH MD
70 N COUNTRY RD SUITE 101
PORT JEFFERSON, NY 11777-2161
Phone number: 631-473-0037
Mailing Address
-- MARITZA LASTRA GROTH MD
PO BOX 5540
HICKSVILLE, NY 11802-5540
Phone number: 631-473-0037