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1255794137
GLENN BRANTLEY
STATEN ISLAND, NY
NPI
1255794137
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251B00000X Case Management
Enumeration Date
2016-03-30
Last Update Date
2016-03-30
Business Address
Mr. GLENN BRANTLEY
777 SEAVIEW AVE SBPC:HEALTH HOME PROGRAM
STATEN ISLAND, NY 10305
Phone number: 718-668-8061
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Mailing Address
Mr. GLENN BRANTLEY
777 SEAVIEW AVE. SOUTH BEACH PSYCHIATRIC CENTER
STATEN ISLAND, NY 10305
Phone number: 718-668-8061
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