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Individual

PHILIP A. CLEMMEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
1090 AMSTERDAM AVE, 13TH FLOOR, NEW YORK, NY 10025-1737
(212) 523-3996
Mailing address
51 MACDOUGAL ST, #191, NEW YORK, NY 10012-2921
(917) 375-8881

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
016370
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003090200
MD
Enumeration date
01/16/2007
Last updated
05/19/2014
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