Whalio Doctors

NPI 1023259769

Janice E. Clemons, CASAC

Practitioner Substance Abuse Rehabilitation Facility Bronx, NY

Practice location

Address
321 E Tremont Ave Bronx Lebanon Hospital, Bronx, NY 10457
Phone
(718) 518-3700
Mailing address
611 W 148th St 22, New York, NY 10031-3107

Registered specialties

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X Licence 12158 (NY)

Registry record

NPI
1023259769
Entity type
Individual
Sex (as registered)
Female
NPI issued
10 Mar 2009
Record last updated
10 Mar 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.