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
Phone: (631) 738-8300
Fax: (631) 738-8500
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053440545 | NPPES |
| New York | Other | X009241 | LICENSE # |
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