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Mary Theodore, MD MPH
NPI 1063675700 · on the registry since 2008 · sole proprietor
Practice
- Address
- 31 W 12th St
Suite 1e
New York, NY 10011 - Phone
- (212) 255-4364
- Fax
- (212) 255-4364
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Psychiatry
2084P0800X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-07-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York