Individual
MRS. CAROLINA PEREZ-CLEMENTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P. A.
Contact information
Practice address
9033 ELMHURST AVENUE., JACKSON HEIGHTS, NY 11372-7935
(718) 457-7000
(718) 899-4955
Mailing address
9033 ELMHURST AVENUE., JACKSON HEIGHTS, NY 11372-7935
(718) 457-7000
(718) 899-4955
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
008399
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008399-1
LICENSE #
NY
Enumeration date
09/28/2006
Last updated
03/07/2023
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