Theodoulou, Maria
Theodoulou, Maria is an sole proprietor health care provider with primary practice located at 400 Patroon Creek Blvd Suite 1, Albany NY 12206-5013. She recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as her primary health care specialty. Theodoulou, Maria can be contacted via phone (518) 489-0044.Contact Information
Primary practice address
400 Patroon Creek Blvd Suite 1
Albany NY 12206-5013
Phone: (518) 489-0044
Fax: (518) 489-3591
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 183499 | New York |
Profile Details
| NPI number | 1720174055 |
|---|---|
| LBN Legal business name | Theodoulou, Maria |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Mar 20th, 2019 - about 6 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720174055 | NPPES |
| New York | MEDICAID | 03577891 |
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