Individual
CHRISTINA MARIE CLANCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3415 BAINBRIDGE AVE, BRONX, NY 10467-2403
(205) 616-7454
Mailing address
35 GREENWOOD AVE, PORT CHESTER, NY 10573-5020
(205) 616-7454
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
350049
NY
Other
Enumeration date
05/05/2022
Last updated
11/10/2022
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