GLEN TORLECE BRACKEN

LONG ISLAND CITY, NY
NPI1922275965
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2008-05-09
Last Update Date2008-05-09
Business Address
-- GLEN TORLECE BRACKEN
2976 NORTHERN BLVD
LONG ISLAND CITY, NY 11101-2822
Phone number: 347-510-3646
Mailing Address
-- GLEN TORLECE BRACKEN
100 ASCH LOOP APT 23B
BRONX, NY 10475-4011
Phone number:
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