Individual
DR. TAHARKA KINGO MCCLEAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
450 CLARKSON AVE, BOX 1228, BROOKLYN, NY 11203-2012
(718) 245-3318
Mailing address
450 CLARKSON AVE, BOX 1228, BROOKLYN, NY 11203-2012
(718) 245-3318
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
21037
NH
207P00000X
Emergency Medicine Physician
25MB10861600
NJ
207P00000X
Emergency Medicine Physician
Primary
304303
NY
207P00000X
Emergency Medicine Physician
5101025677
MI
Other
Enumeration date
07/08/2014
Last updated
03/21/2024
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