Clemenza, Jill

Clemenza, Jill is an sole proprietor health care provider with primary practice located at 2805 Veterans Memorial Hwy Ste 8 , Ronkonkoma NY 11779-7680. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Clemenza, Jill can be contacted via phone (631) 738-8300.

Contact Information

Primary practice address
2805 Veterans Memorial Hwy Ste 8 Ronkonkoma NY 11779-7680
Fax: (631) 738-8500
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X X009241-1 New York

Profile Details

NPI number 1053440545
LBN Legal business name Clemenza, Jill
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 2nd, 2007
Last updated Jul 8th, 2007 - about 17 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 1053440545 NPPES
New York Other X009241 LICENSE #

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