institution
Theodorou Plastic Surgery, Pc
Specialist in New York, New York
NPI 1871692434

Theodorou Plastic Surgery, Pc is a Specialist based in Yonkers, NY. Theodorou Plastic Surgery, Pc practices in New York, NY. The NPI Number for Theodorou Plastic Surgery, Pc is 1871692434 and holds a License No. 228653-1 (New York).

The current practice location address for Theodorou Plastic Surgery, Pc is 128 Central Park S, New York, NY and can be reached out via phone at 914-237-6797 and via fax at 914-237-6790.

Location: 128 Central Park S, New York, NY, 10704-4105
institution
Provider Profile Details
NPI Number
1871692434
Provider Name
Theodorou Plastic Surgery, Pc
Credential
Provider Entity Type
Organization
Address
128 Central Park S, New York, NY, 10704-4105
Phone Number
914-237-6797
Fax Number
914-237-6790
Provider Enumeration Date
09/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
228653-1 01 NY MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
128 Central Park S
City
State
Zip
10019-1565
Phone Number
914-237-6797
Fax Number
914-237-6790
person
Provider Business Mailing Address Details
Address
128 Central Park S
City
State
Zip
10019-1565
Phone Number
914-237-6797
Fax Number
914-237-6790
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
228653-1 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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