MISS Amantha Theodore
NPI #1003421066 in Mount Vernon, New York
Provider Information
- NPI Number
- 1003421066
- Entity Type
- Individual
- Name
- MISS Amantha Theodore
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Sep 15, 2020
- Last Updated
- Sep 15, 2020
Practice Location
- Address
- 531 E LINCOLN AVE APT 4N
- City
- Mount Vernon
- State
- New York
- ZIP Code
- 10552-3743
- Phone
- (718) 920-9000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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