Individual
CLAYTON ANTHONY JARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1210 WEBSTER AVE, BRONX, NY 10456-4208
(646) 612-7747
Mailing address
94 WESTERN HWY, WEST NYACK, NY 10994-2620
(646) 643-7943
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F351624
NY
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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