Individual
MRS. TANYA CLEMENTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2002 SEAGIRT BLVD, FAR ROCKAWAY, NY 11691-2805
(718) 327-7660
Mailing address
11927 198TH ST, SAINT ALBANS, NY 11412-3727
(718) 341-0570
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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