Clemens, Christopher

Clemens, Christopher is an individual health care provider with primary practice located at 3160 21St St , Long Island City NY 11106-4520. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Clemens, Christopher can be contacted via phone (718) 932-2110.

Contact Information

Primary practice address
3160 21St St Long Island City NY 11106-4520
Fax: (718) 274-6945
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 207232 New York

Profile Details

NPI number 1013937648
LBN Legal business name Clemens, Christopher
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Feb 9th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013937648 NPPES
New York MEDICAID 01847805

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