Thomas James Macedon, RN Valid NPI

Individual provider · Child & Adolescent Psychiatric/Mental Health Registered Nurse · Staten Island, NY

NPI

1255816161

Type

Individual (Type 1)

Primary specialty

Child & Adolescent Psychiatric/Mental Health Registered Nurse (Registered Nurse)

Specialty group

Nursing Service Providers

Taxonomy code

163WP0807X

License number

748910 (NY)

Sex

Male

Sole proprietor

Yes

Enumerated

2018-09-26

Last updated

2018-09-26