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

Theo Nnebe

Individual provider Specialist · NPI 1205172152

Theo Nnebe is a Specialist in Hollis, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012

Practice location Address checks out

20541 100th Ave
Hollis, NY 11423-3438
Phone: (917) 913-1247
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 777420 (NY)

Record details

NPI number1205172152
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 21, 2012
Last updated in NPPESDecember 21, 2012
Mailing address20541 100th Ave, Hollis, NY 11423-3438

Other providers in Hollis