GLENN DEMYAN

STATEN ISLAND, NY
NPI1700411501
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163WP0808X Registered Nurse Psychiatric/Mental Health
(Licence: NY  455624)
Enumeration Date2020-03-12
Last Update Date2020-03-12
Business Address
GLENN DEMYAN
777 SEAVIEW AVE
STATEN ISLAND, NY 10305-3409
Phone number: 718-667-2464
Mailing Address
GLENN DEMYAN
777 SEAVIEW AVE
STATEN ISLAND, NY 10305-3409
Phone number:
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