Individual provider · NPI-1
Maria Ann Clementi, NP
Nurse Practitioner, Pediatrics · Islandia, NY
NPI number1043995632
StatusActive
Last updated in NPPESJun 20, 2023
Details
- NPI
- 1043995632
- Entity type
- Individual (NPI-1)
- Name
- Maria Ann Clementi
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 20, 2023
- Certification date
- Jun 20, 2023
- Last updated
- Jun 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | F383588 | NY | Yes |
Practice location
3001 Expressway Dr N Ste 100Islandia, NY 11749-5301
Phone 631-434-1770
Mailing address
91 Dunlop RdHuntington, NY 11743-3936
Phone 516-818-2425
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