Individual
DIANA CLEMENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1155 PARK AVE, NEW YORK, NY 10128-1209
(212) 360-6500
(212) 360-6535
Mailing address
36 GATES AVE, MALVERNE, NY 11565-1912
(516) 561-8930
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
017643-1
NY
363A00000X
Physician Assistant
Primary
011165-1
NY
Other
Enumeration date
04/13/2007
Last updated
08/20/2014
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