MS. Emilia Theodate, R.N.
NPI #1255616983 in Central Islip, New York
Provider Information
- NPI Number
- 1255616983
- Entity Type
- Individual
- Name
- MS. Emilia Theodate, R.N.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Registered Nurse - School
- Credential
- R.N.
- Enumeration Date
- Oct 13, 2011
- Last Updated
- Oct 13, 2011
Practice Location
- Address
- 5 BIRCH ST
- City
- Central Islip
- State
- New York
- ZIP Code
- 11722-3101
- Phone
- (631) 231-6919
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - School — School |
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