Individual
GARY MCGLINCHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3375 PARK AVE STE 2004-2, WANTAGH, NY 11793-3733
(631) 379-0654
Mailing address
151 SUMPWAMS AVE, BABYLON, NY 11702-3712
(631) 379-0654
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
23836
NY
Other
Enumeration date
11/25/2019
Last updated
11/25/2019
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