Individual
GLENDROY MICHAEL MCMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
91-14 MERRICK BLVD 6TH FL., JAMAICA, NY 11432
(201) 839-6693
Mailing address
91-14 MERRICK BLVD 6TH FL., JAMAICA, NY 11432
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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