Individual
MR. GLENN RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASEMANAGER
Contact information
Practice address
249 CLASSON AVE, MERCY GARDENS, BROOKLYN, NY 11205-1440
(718) 399-8141
(718) 399-3208
Mailing address
191 JORALEMON ST, BROOKLYN, NY 11201-4306
(718) 722-6000
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/24/2011
Last updated
08/24/2011
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