CLYDE HAGAN

LONG ISLAND CITY, NY
NPI1841467354
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2008-05-14
Last Update Date2008-05-14
Business Address
Mr. CLYDE HAGAN
2976 NORTHERN BLVD
LONG ISLAND CITY, NY 11101-2822
Phone number: 347-510-3644
Mailing Address
Mr. CLYDE HAGAN
2976 NORTHERN BLVD
LONG ISLAND CITY, NY 11101-2822
Phone number: 347-510-3644