Individual
MS. CLARISTER MCLUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9 W PROSPECT AVE STE 310, MOUNT VERNON, NY 10550-2049
(914) 699-0022
Mailing address
3033 MIDDLETOWN RD, BRONX, NY 10461-5335
(718) 824-9066
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
199935
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01435478
—
NY
Enumeration date
01/09/2009
Last updated
01/09/2009
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