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NPI Code Detail

MEDICARE: CHRISTOPHER CLENDENIN

MEDICARE: CHRISTOPHER CLENDENIN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator133306195NY

General Provider Information

NPI Number : 1013168798
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER CLENDENIN
Provider Business Mailing Address
First Line : 50 NEVINS ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11217-1004
Country : US
Telephone Number : 718-834-9112
Fax Number :
Provider Business Practice Location Address
First Line : 50 NEVINS ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11217-1004
Country : US
Telephone Number : 718-834-9112
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2008
Last Update Date : 10/01/2008

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Directions to “ CHRISTOPHER CLENDENIN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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