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
Phone: (718) 217-6279
Fax: (718) 217-6279
Website:
Health care specialties
| Specialty | Code | License # | 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 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 | 1790721710 | NPPES |
| New York | MEDICAID | 00777142 |
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