Individual
MS. MARLENE S CLIFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
255 W MONTAUK HWY, HAMPTON BAYS, NY 11946-3512
(631) 728-3698
Mailing address
255 W MONTAUK HWY, PO BOX 626, HAMPTON BAYS, NY 11946-3512
(631) 728-3698
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
361780911
NY
Other
Enumeration date
12/02/2008
Last updated
12/02/2008
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