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Mark Theodore, FNP-BC
NPI 1457793135 · on the registry since 2013 · sole proprietor
Practice
- Address
- 1656 Champlin Ave
Utica, NY 13502 - Phone
- (315) 624-6000
- Organisation at this address
- Toufik Farkouh Md
Geoffrey Simon Md
Lee Avramidis, Md
Firooz Ravangard, Md Pc
Mathew J Ulahannan Md PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 117
Registry record
- Primary taxonomy
- Family Nurse Practitioner
363LF0000X
- Also registered as
- Critical Care Medicine Registered Nurse
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-07-23
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