Individual
DEBORAH ANNE THEODORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
177 FORT WASHINGTON AVE, NEW YORK, NY 10032-3733
(212) 305-8039
(212) 305-1754
Mailing address
630 W 168TH ST # 4, NEW YORK, NY 10032-3725
(212) 305-8039
(212) 305-1754
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
290071
NY
Other
Enumeration date
04/23/2014
Last updated
01/23/2025
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