Provider Demographics
NPI:1740970086
Name:THOMAS MAGALDI
Entity type:Organization
Organization Name:THOMAS MAGALDI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:MAGALDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-965-1935
Mailing Address - Street 1:200 CAPITOL AVE
Mailing Address - Street 2:
Mailing Address - City:WILLISTON PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11596-1118
Mailing Address - Country:US
Mailing Address - Phone:516-965-1935
Mailing Address - Fax:
Practice Address - Street 1:99 HILLSIDE AVE STE J
Practice Address - Street 2:
Practice Address - City:WILLISTON PARK
Practice Address - State:NY
Practice Address - Zip Code:11596-2352
Practice Address - Country:US
Practice Address - Phone:516-965-1935
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-10
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty