Individual
CLOMEL PAKEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
265 BROADHOLLOW RD STE 200, MELVILLE, NY 11747-4833
(631) 861-5991
Mailing address
265 BROADHOLLOW RD STE 200, MELVILLE, NY 11747-4833
(631) 861-5991
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
366953-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05695441
—
NY
Enumeration date
01/18/2022
Last updated
01/18/2022
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