MR. Mackensdy Dormeus
NPI #1730848813 in Saint Albans, New York
Provider Information
- NPI Number
- 1730848813
- Entity Type
- Individual
- Name
- MR. Mackensdy Dormeus
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Clinic/Center - Adult Day Care
- Enumeration Date
- Dec 15, 2021
- Last Updated
- Dec 15, 2021
Practice Location
- Address
- 19011 LINDEN BLVD
- City
- Saint Albans
- State
- New York
- ZIP Code
- 11412-3346
- Phone
- (929) 433-0054
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