| Macedonia Support Network, Inc. | |
|
11341 Farmers Blvd Saint Albans NY 11412-2425 | |
| (914) 258-7547 | |
| Not Available |
| Full Name | Macedonia Support Network, Inc. |
|---|---|
| Speciality | Case Manager/care Coordinator |
| Location | 11341 Farmers Blvd, Saint Albans, New York |
| Authorized Official Name and Position | James Gordon (PRESIDENT) |
| Authorized Official Contact | 9142587547 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Macedonia Support Network, Inc. 11341 Farmers Blvd Saint Albans NY 11412-2425 Ph: (914) 258-7547 | Macedonia Support Network, Inc. 11341 Farmers Blvd Saint Albans NY 11412-2425 Ph: (914) 258-7547 |
| NPI Number | 1912309402 |
|---|---|
| Provider Enumeration Date | 09/16/2014 |
| Last Update Date | 09/16/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912309402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
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