Individual provider · Type 1 NPI

Theo Nnebe

Specialist · Hollis, NY

NPI number 1205172152 Active

Practice location

20541 100th Ave
Hollis, NY 11423-3438

Call (917) 913-1247 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X777420 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1205172152

Theo Nnebe's National Provider Identifier is 1205172152, issued on Dec 21, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Hollis, NY. The record was last updated on Dec 21, 2012.