Individual
MISS JILL CLEMENZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
2805 VETERANS MEMORIAL HWY STE 8, RONKONKOMA, NY 11779-7680
(631) 738-8300
(631) 738-8500
Mailing address
2805 VETERANS MEMORIAL HWY STE 8, RONKONKOMA, NY 11779-7680
(631) 738-8300
(631) 738-8500
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X009241-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X009241
LICENSE #
NY
Enumeration date
03/02/2007
Last updated
07/08/2007
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