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THEO NNEBE
NPI 1205172152
Specialist in Hollis, NY

Active since December 21, 2012
20541 100TH AVE, HOLLIS, NY 11423(917) 913-1247 Get Directions Write a Review

NPPES record last updated: December 21, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Theo Nnebe NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THEO NNEBE (NPI 1205172152) is an individual specialist in Hollis, New York, licensed in New York (777420) and active in the NPI registry since December 2012.

NPPES Registry Identity

NPI1205172152
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameTHEO NNEBE
Location Address20541 100TH AVEHollis, NY 11423-3438
Mailing Address20541 100th AveHollis, NY 11423-3438 · (917) 913-1247
Phone(917) 913-1247
Sole ProprietorYes
Enumeration DateDecember 21, 2012
✔ NPI 1205172152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 777420
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
20541 100TH AVE, Hollis, NY 11423
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ELSIE IME NNEBE SPECIAL INSTRUCTOR
Day Training, Developmentally Disabled Services
20541 100TH AVE
HOLLIS, NY 11423
Queens County (917) 239-8969

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theo Nnebe's NPI number?

The NPI number for Theo Nnebe is 1205172152. It was assigned to this individual provider in the NPPES registry on December 21, 2012.

Where is Theo Nnebe located?

Theo Nnebe practices at 20541 100th Ave, Hollis, NY 11423. The listed phone number is (917) 913-1247.

What is Theo Nnebe's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Theo Nnebe was last updated on December 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.