Individual
DR. THEODORE KUTZY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
119 DEHAVEN DR, UNIT 133, YONKERS, NY 10703-1349
(914) 613-8784
Mailing address
119 DEHAVEN DR, UNIT 133, YONKERS, NY 10703-1349
(914) 613-8784
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
234789
NY
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
57200
CT
Other
Enumeration date
10/24/2006
Last updated
12/07/2017
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