Individual
DR. CLOVIS RAYMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
275 ROUTE 304, SUITE 200, BARDONIA, NY 10954-2049
(845) 507-0442
Mailing address
275 ROUTE 304, SUITE 200, BARDONIA, NY 10954-2049
(845) 507-0442
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
253550-1
NY
Other
Enumeration date
06/28/2009
Last updated
10/14/2012
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