Individual
DARRIC CLINTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1345 5TH AVE APT 13H, NEW YORK, NY 10029-1025
(718) 419-7049
Mailing address
1345 5TH AVE APT 13H, NEW YORK, NY 10029-1025
(718) 419-7049
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
C4947
NY
Other
Enumeration date
11/21/2025
Last updated
11/21/2025
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