Keith Alexander Clement, NP-C
Nurse Practitioner, Adult Health in Lynbrook, NY. Individual provider (NPI-1).
NPI number1528058732
StatusActive
Last updated in NPPESJul 1, 2009
Details
- NPI
- 1528058732
- Entity type
- Individual (NPI-1)
- Name
- Mr. Keith Alexander Clement
- Credential
- NP-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 27, 2005
- Last updated
- Jul 1, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | F302992 | NY | Yes |
Practice location
444 Merrick RdLynbrook, NY 11563-2460
Phone 516-887-0890
Mailing address
94 Cuba Hill RdGreenlawn, NY 11740-2720
Phone 631-754-4472
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 9 Adult Health Nurse Practitioner providers in Lynbrook · All 891 providers in Lynbrook
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