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Individual

MARIANNE CLINTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1427 BROADWAY, BROOKLYN, NY 11221-4202
(347) 390-8706
(347) 396-9785
Mailing address
280 HENRY ST, NEW YORK, NY 10002-4816
(212) 227-8401
(212) 227-8842

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
167056
OR
207Q00000X
Family Medicine Physician
29208
MN
207Q00000X
Family Medicine Physician
Primary
298988-1
NY
207Q00000X
Family Medicine Physician
G50695
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
096511
OR
05
22959
OR
Enumeration date
03/14/2006
Last updated
12/02/2025
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