DECIDEL MAXUME

VALLEY STREAM, NY
NPI1972323814
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent
(Licence: NY  f406333-01)
Enumeration Date2024-10-15
Last Update Date2024-10-15
Business Address
DECIDEL MAXUME
147 ELM ST
VALLEY STREAM, NY 11580-4913
Phone number: 347-965-1153
Mailing Address
DECIDEL MAXUME
147 ELM ST
VALLEY STREAM, NY 11580-4913
Phone number: 347-965-1153
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