Individual provider · Type 1 NPI
Claude Theodore Jr.
Student in an Organized Health Care Education/Training Program · Amityville, NY
NPI number
1063267870
Active
Practice location
30 Devine Pl
Amityville, NY 11701-2419
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1063267870
Claude Theodore Jr.'s National Provider Identifier is 1063267870, issued on Apr 23, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Amityville, NY. The record was last updated on Apr 23, 2024.