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Mackensdy Dormeus
NPI 1730848813 · on the registry since 2021 · sole proprietor
Practice
- Address
- 19011 Linden Blvd
Saint Albans, NY 11412 - Phone
- (929) 433-0054
- Fax
- (929) 433-0055
- Organisation at this address
- Grace Adult Daycare-Multiservice Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 261QA0600X
261QA0600X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-12-15
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