Individual
CHEYENNE NICOLE CLINKSCALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
501 N OCEAN AVE, PATCHOGUE, NY 11772-1758
(631) 866-2030
(631) 866-2033
Mailing address
PO BOX 5036, WHITE PLAINS, NY 10602-5036
(914) 734-8800
(914) 734-8786
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
031727
NY
Other
Enumeration date
04/15/2024
Last updated
09/12/2025
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