Individual
MICHELLE Y CLODOMIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8900 JAMAICA AVENUE, JAMAICA, NY 11418
(718) 206-6175
Mailing address
348 13TH ST STE 203, BROOKLYN, NY 11215-5004
(718) 788-2461
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
350033-1
NY
Other
Enumeration date
09/12/2007
Last updated
05/26/2015
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