Organization
MACEDONIA SUPPORT NETWORK, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES GORDON PH.D (PRESIDENT)
(914) 258-7547
Entity
Organization
Contact information
Practice address
11341 FARMERS BLVD, SAINT ALBANS, NY 11412-2425
(914) 258-7547
Mailing address
11341 FARMERS BLVD, SAINT ALBANS, NY 11412-2425
(914) 258-7547
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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