Individual
MS. JENIFER NATALIE CLEMENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
485 LOCKWOOD DR, SHIRLEY, NY 11967-1117
(631) 806-4181
Mailing address
485 LOCKWOOD DR, SHIRELY, NY 11967
(631) 806-4181
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
459617
NY
Other
Enumeration date
07/07/2022
Last updated
07/07/2022
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