National Provider Identifier
Theodore Cornelius
Theodore Cornelius is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Buffalo, NY and a listed phone number of (716) 622-1242.
Profile Overview
- NPI
- 1538560230
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- September 12, 2014
- Last Updated
- September 12, 2014
Practice Location
- 17 Franklin Ave
- Buffalo, NY 14212-2325
Phone: (716) 622-1242
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1538560230
- Entity Type
- Individual
- Last Name
- Cornelius
- First Name
- Theodore
- Mailing Street Address
- 17 Franklin Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14212-2325
- Mailing Country
- US
- Practice Street Address
- 17 Franklin Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14212-2325
- Practice Country
- US
- Practice Phone
- (716) 622-1242
- Enumeration Date
- September 12, 2014
- Last Updated
- September 12, 2014
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)