Clerisme, Joseph

Clerisme, Joseph is an sole proprietor health care provider with primary practice located at 20922 Hillside Ave , Queens Village NY 11427-1715. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Clerisme, Joseph can be contacted via phone (718) 217-6279.

Contact Information

Primary practice address
20922 Hillside Ave Queens Village NY 11427-1715
Fax: (718) 217-6279
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 154315 New York

Profile Details

NPI number 1790721710
LBN Legal business name Clerisme, Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 2006
Last updated May 19th, 2009 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1790721710 NPPES
New York MEDICAID 00777142

Popular Providers