Individual
MR. MICHAEL CLEMENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(917) 225-3988
Mailing address
575 LEXINGTON AVE, NEW YORK, NY 10022-6102
(917) 225-3988
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
593339-1
NY
367500000X
Certified Registered Nurse Anesthetist
26NJ01411700
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
593339-1
NY
Other
Enumeration date
08/14/2014
Last updated
06/12/2025
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