Individual
CHRISTINA THEODORO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 BI COUNTY BLVD, FARMINGDALE, NY 11735-3988
(516) 342-4921
Mailing address
500 BI COUNTY BLVD, FARMINGDALE, NY 11735-3988
(516) 342-4921
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/17/2025
Last updated
06/17/2025
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