Individual
JOSEPH CLERISME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20922 HILLSIDE AVE, QUEENS VILLAGE, NY 11427-1715
(718) 217-6279
(718) 217-6279
Mailing address
20922 HILLSIDE AVE, QUEENS VILLAGE, NY 11427-1715
(718) 217-6279
(718) 217-6279
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
154315
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00777142
—
NY
Enumeration date
06/20/2006
Last updated
05/19/2009
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