SearchNew York101YM0800X

Jaquan Mcmillian

NPI 1407220312 · on the registry since 2015

Practice

Address
2384 Atlantic Ave
4th Floor
Brooklyn, NY 11233
Phone
(718) 272-6025
Fax
(718) 922-7416
Organisation at this address
Icl Act Team Bushwick
Blended Case Management (Icl)
Icl Act Team Central Brooklyn
Institue For Community Living
Institute For Community Living
Inferred from a shared address, not stated in the registry.
Clinicians at this address
71

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-11-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York