Individual
MR. JOSE ANTONIO CLEMENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
549 W 180TH ST, NEW YORK, NY 10033-5825
(212) 795-9888
(212) 795-9899
Mailing address
24 METROPOLITAN OVAL, 4E, BRONX, NY 10462-6722
(646) 294-3174
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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