Individual provider · Type 1 NPI

Mackensdy Dormeus

Adult Day Care Clinic/Center · St. Albans, NY

NPI number 1730848813 Active

Practice location

19011 Linden Blvd
St. Albans, NY 11412-3346

Fax (929) 433-0055

Mailing address

576 Pinebrook Ave
West Hempstead, NY 11552-4225

Specialties and licenses

TaxonomyCodeLicense
Adult Day Care Clinic/Center Primary 261QA0600XNone listed

Adult Day Care Clinic/Center: Definition to come...

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About NPI 1730848813

Mackensdy Dormeus's National Provider Identifier is 1730848813, issued on Dec 15, 2021. The primary taxonomy on file is Adult Day Care Clinic/Center (261QA0600X), and the practice location is in St. Albans, NY. The record was last updated on Dec 15, 2021.