Deborah Theodore
Infectious Disease
177 Fort Washington Ave
New York
, New York 10032-3733
Deborah Theodore
Infectious Disease
177 Fort Washington Ave
New York
, New York 10032-3733
(212) 305-1754
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About
Features
Specialties
- Infectious Disease
Languages spoken
- English
Location
First Address
- Deborah Theodore
- 630 W 168th St # 4
- New York, NY
- Zip : 10032-3725
- Fax : (212) 305-1754
- Phone : (212) 305-8039
Second Address
- Deborah Theodore
- 177 Fort Washington Ave
- New York, NY
- Zip : 10032-3733
- Fax : (212) 305-1754
- Phone : (212) 305-8039
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RI0200X | Infectious Disease | 290071 | NY |
National Provider Identifier
| NPI | 1073933552 |
|---|---|
| Provider Name | Deborah Theodore |
| First Address | New York, NY 10032-3725 |
| Second Address | New York, NY 10032-3733 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/04/2014 |
| Last Update Date | 30/04/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.