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MR. KEITH ALEXANDER CLEMENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP-C

Contact information

Practice address
444 MERRICK RD, LYNBROOK, NY 11563-2460
(516) 887-0890
Mailing address
94 CUBA HILL RD, GREENLAWN, NY 11740-2720
(631) 754-4472

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F302992
NY

Other

Enumeration date
10/27/2005
Last updated
07/01/2009
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