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Thomas James Macedon JR., RN
Child & Adolescent Psychiatric/Mental Health Registered Nurse in Staten Island, New York
NPI 1255816161

Thomas James Macedon JR. is a Child & Adolescent Psychiatric/Mental Health Registered Nurse based in Staten Island, NY and is specialized in Psychiatric/Mental Health, Child & Adolescent. Thomas James Macedon JR. practices in Staten Island, NY and has the professional credentials of RN. The NPI Number for Thomas James Macedon JR. is 1255816161 and holds a License No. 748910 (New York).

The current practice location address for Thomas James Macedon JR. is 777 Seaview Ave, Staten Island, NY and can be reached out via phone at 718-667-2600.

Location: 777 Seaview Ave, Staten Island, NY, 10305-3409
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Provider Profile Details
NPI Number
1255816161
Provider Name
Thomas James Macedon JR.
Credential
RN
Provider Entity Type
Individual
Gender
Male
Address
777 Seaview Ave, Staten Island, NY, 10305-3409
Phone Number
718-667-2600
Fax Number
Provider Enumeration Date
09/26/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2997157 05 NY
institution
Provider Business Practice Location Address Details
Address
777 Seaview Ave
City
State
Zip
10305-3409
Phone Number
718-667-2600
Fax Number
person
Provider Business Mailing Address Details
Address
777 Seaview Ave
City
State
Zip
10305-3409
Phone Number
718-667-2600
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health, Child & Adolescent
Taxonomy
License No.
748910 (New York)
Definition
Definition to come...
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