MR. Marvin Theodore is an addiction (substance use disorder) counselor in Staten Island, NY. MR. Marvin Theodore NPI is 1700393527. The provider is registered as an individual entity type and is a multi-specialty group.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
263 PORT RICHMOND AVE
STATEN ISLAND, NY
ZIP 10302-704
Phone: (718) 981-8117
The enumeration date for this NPI number is 1/2/2018 and was last updated on 1/2/2018.