Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Hildegarde Theodore

Individual provider Specialist · NPI 1639611809

Hildegarde Theodore is a Specialist in Elmont, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2016
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Practice location Address checks out

527 Cameron St
Elmont, NY 11003-3820
Phone: (516) 476-0294
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 883290 (NY)

Record details

NPI number1639611809
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 4, 2016
Last updated in NPPESNovember 4, 2016

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