Berry, Theodora Isabelle

Berry, Theodora Isabelle is an individual health care provider with primary practice located at 200 Garden City Plz Ste 100 , Garden City NY 11530-3337. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Berry, Theodora Isabelle can be contacted via phone (516) 663-6400.

Contact Information

Primary practice address
200 Garden City Plz Ste 100 Garden City NY 11530-3337
Fax: (516) 307-8840
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X F421665-01 New York

Profile Details

NPI number 1396518106
LBN Legal business name Berry, Theodora Isabelle
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2023
Last updated Nov 2nd, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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