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1700411501
GLENN DEMYAN
STATEN ISLAND, NY
NPI
1700411501
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: NY 455624)
Enumeration Date
2020-03-12
Last Update Date
2020-03-12
Business Address
GLENN DEMYAN
777 SEAVIEW AVE
STATEN ISLAND, NY 10305-3409
Phone number: 718-667-2464
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Mailing Address
GLENN DEMYAN
777 SEAVIEW AVE
STATEN ISLAND, NY 10305-3409
Phone number:
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