Individual
MS. JANICE E. CLEMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
321 E TREMONT AVE, BRONX LEBANON HOSPITAL, BRONX, NY 10457
(718) 518-3700
Mailing address
611 W 148TH ST, 22, NEW YORK, NY 10031-3107
(212) 694-0668
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
12158
NY
Other
Enumeration date
03/10/2009
Last updated
03/10/2009
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