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1255702569
THEODORE MACARIO
ELMHURST, NY
NPI
1255702569
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Professional Name
THEODORE MACARIO
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
Enumeration Date
2015-10-13
Last Update Date
2015-10-13
Business Address
Mr. THEODORE MACARIO
7901 BROADWAY
ELMHURST, NY 11373-1329
Phone number: 718-334-3050
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Mailing Address
Mr. THEODORE MACARIO
370 W 2ND ST
WEST ISLIP, NY 11795-2429
Phone number:
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