Individual
CLAUSEL PAYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13131 131ST ST, SOUTH OZONE PARK, NY 11420-3412
(718) 828-2666
Mailing address
13131 131ST ST, SOUTH OZONE PARK, NY 11420-3412
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
540961
NY
Other
Enumeration date
04/30/2020
Last updated
04/30/2020
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