Individual
STEPHEN CLACHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
60 CHARLES LINDBERGH BLVD, SUITE 260, UNIONDALE, NY 11553-3653
(516) 227-1499
Mailing address
4 CHABLIS CT, CORAM, NY 11727-2424
(631) 626-2076
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
296678
NY
Other
Enumeration date
10/29/2015
Last updated
10/29/2015
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