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1255816161
THOMAS JAMES MACEDON
STATEN ISLAND, NY
NPI
1255816161
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent
(Licence: NY 748910)
Enumeration Date
2018-09-26
Last Update Date
2018-09-26
Business Address
THOMAS JAMES MACEDON RN
777 SEAVIEW AVE
STATEN ISLAND, NY 10305-3409
Phone number: 718-667-2600
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Mailing Address
THOMAS JAMES MACEDON RN
777 SEAVIEW AVE
STATEN ISLAND, NY 10305-3409
Phone number: 718-667-2600
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