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
ZIP Code
10552-3743
Phone
(718) 920-9000

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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