Hildegarde Theodore

NPI #1639611809 in Elmont, New York

Provider Information

NPI Number
1639611809
Entity Type
Individual
Name
Hildegarde Theodore
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist
Enumeration Date
Nov 4, 2016
Last Updated
Nov 4, 2016

Practice Location

Address
527 CAMERON ST
City
Elmont
ZIP Code
11003-3820
Phone
(516) 476-0294

Specialties & Taxonomy Codes

Specialty
Specialist

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