Individual provider · Type 1 NPI

Hildegarde Theodore

Specialist · Elmont, NY

NPI number 1639611809 Active

Practice location

527 Cameron St
Elmont, NY 11003-3820

Call (516) 476-0294 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X883290 (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 1639611809

Hildegarde Theodore's National Provider Identifier is 1639611809, issued on Nov 4, 2016. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Elmont, NY. The record was last updated on Nov 4, 2016.