Search › New York › 1041C0700X
Tyler Madore, LCSW
NPI 1639696628 · on the registry since 2017
Practice
- Address
- 500 Peconic St Apt 113b
Ronkonkoma, NY 11779 - Phone
- (203) 841-8259
- Clinicians at this address
- 26
Additional practice sites
- 21406 69th Ave Apt B, Oakland Gardens, NY
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-11-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York