Individual
MS. PARRIS MARIE MACEDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1075 E 179TH ST, #4H, BRONX, NY 10460-2325
(718) 542-1357
Mailing address
1075 E 179TH ST, #4H, BRONX, NY 10460-2325
(718) 542-1357
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
07/09/2008
Last updated
07/09/2008
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