Individual
CAITLIN CLANCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
535 E 70TH ST, NEW YORK, NY 10021-4823
(212) 606-1206
Mailing address
45 READE PL, POUGHKEEPSIE, NY 12601-3947
(845) 483-6920
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F306001-1
NY
Other
Enumeration date
08/15/2012
Last updated
01/23/2018
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