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Individual

DR. CLARISSE D. CLEMONS FERRARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
150089
NY
207Q00000X
Family Medicine Physician
048178
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
048178
CONNECTICUT LICENSE
CT
01
150089-1
LICENSE
NY
Enumeration date
04/20/2007
Last updated
04/11/2010
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