SearchNew York101YA0400X

Thomas Macedon, CASAC

NPI 1790055663 · on the registry since 2012 · sole proprietor

Practice

Address
273 Heberton Ave
Staten Island, NY 10302
Phone
(718) 816-6589
Clinicians at this address
29

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-01-09

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