Individual
JERRY EUGENE CLEMENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 5TH AVE, 1E, NEW YORK, NY 10011-8859
(212) 477-1750
(212) 477-3377
Mailing address
30 5TH AVE, 1E, NEW YORK, NY 10011-8859
(212) 477-1750
(212) 477-3377
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
166889
NY
Other
Enumeration date
10/06/2006
Last updated
07/22/2014
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