Individual
CLERMINA LECONTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
540 MAPLE ST, WEST HEMPSTEAD, NY 11552-3317
(516) 410-6269
Mailing address
540 MAPLE ST, WEST HEMPSTEAD, NY 11552-3317
(516) 410-6269
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
111392-01
NY
Other
Enumeration date
05/02/2024
Last updated
05/02/2024
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