Individual provider · Type 1 NPI
Thomas James Macedon Jr., RN
Child & Adolescent Psychiatric/Mental Health Registered Nurse · Staten Island, NY
NPI number
1255816161
Active
Practice location
777 Seaview Ave
Staten Island, NY 10305-3409
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child & Adolescent Psychiatric/Mental Health Registered Nurse Primary | 163WP0807X | 748910 (NY) |
Child & Adolescent Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1255816161
Thomas James Macedon Jr., RN's National Provider Identifier is 1255816161, issued on Sep 26, 2018. The primary taxonomy on file is Child & Adolescent Psychiatric/Mental Health Registered Nurse (163WP0807X), and the practice location is in Staten Island, NY. The record was last updated on Sep 26, 2018.