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1689111445
TEDDY THEODORAKIS
BROOKLYN, NY
NPI
1689111445
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F0816957)
Enumeration Date
2017-01-31
Last Update Date
2017-01-31
Business Address
-- TEDDY THEODORAKIS NP
139 85TH ST
BROOKLYN, NY 11209-4303
Phone number: 917-463-9517
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Mailing Address
-- TEDDY THEODORAKIS NP
139 85TH ST
BROOKLYN, NY 11209-4303
Phone number: 917-463-9517
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