Claude Theodore JR.
NPI #1063267870 in Amityville, New York
Provider Information
- NPI Number
- 1063267870
- Entity Type
- Individual
- Name
- Claude Theodore JR.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- Apr 23, 2024
- Last Updated
- Apr 23, 2024
Practice Location
- Address
- 30 DEVINE PL
- City
- Amityville
- State
- New York
- ZIP Code
- 11701-2419
- Phone
- (516) 473-8622
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
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