Organization
CLANCY NP ADULT HEALTH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS PHELAN CLANCY (PRESIDENT)
(516) 356-1785
Entity
Organization
Contact information
Practice address
337 LENOX AVE, NEW YORK, NY 10027-3703
(646) 707-3930
Mailing address
285 AVENUE C, APT 10C, NEW YORK, NY 10009-2301
(516) 356-1785
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
6573601
NY
Other
Enumeration date
04/14/2017
Last updated
04/14/2017
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