Individual
AKITO THEODORE NICOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
600 ROE AVE, ELMIRA, NY 14905-1676
(607) 442-1713
Mailing address
600 ROE AVE, ELMIRA, NY 14905-1676
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/24/2023
Last updated
03/24/2023
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