Individual
ALEXANDRA CLEMINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 E 64TH ST STE 101, NEW YORK, NY 10065-6673
(212) 888-4100
Mailing address
319 E 78TH ST APT 2A, NEW YORK, NY 10075-9007
(617) 840-2733
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
08676
NY
Other
Enumeration date
08/04/2017
Last updated
08/04/2017
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