Individual
CINDY THEODORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1623 KINGS HWY, BROOKLYN, NY 11229-1209
(929) 273-7601
Mailing address
9012 FARRAGUT RD, BROOKLYN, NY 11236-3217
(347) 859-0858
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
1568351955
NY
Other
Enumeration date
06/30/2025
Last updated
07/09/2025
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