Individual
JENNIFER ANN CLEMENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CNS, CDN
Contact information
Practice address
168 PONQUOGUE AVE, HAMPTON BAYS, NY 11946-3071
(646) 564-3818
(646) 461-4447
Mailing address
365 CLINTON AVE APT 11A, BROOKLYN, NY 11238-1160
(917) 602-6086
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
011003
NY
133N00000X
Nutritionist
CNS17054
NY
Other
Enumeration date
12/28/2018
Last updated
05/26/2022
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