Individual
CLEMENT ASEMOTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2052 TILLOTSON AVE, SUITE 101, BRONX, NY 10475-1560
(718) 671-2100
Mailing address
2052 TILLOTSON AVE, SUITE 101, BRONX, NY 10475-1560
(718) 671-2100
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
322091
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F406309
NY
Other
Enumeration date
10/12/2015
Last updated
10/11/2024
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