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1518376789
JOANNE ELAINE CLYDE
STONY BROOK, NY
NPI
1518376789
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY 306686)
Enumeration Date
2014-08-12
Last Update Date
2014-08-12
Business Address
Mrs. JOANNE ELAINE CLYDE NP
STONY BROOK MEDICAL CTR 101 NICOLLS ROAD
STONY BROOK, NY 11794-0001
Phone number: 631-444-2903
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Mailing Address
Mrs. JOANNE ELAINE CLYDE NP
3119 BEECHNUT AVE
MEDFORD, NY 11763-1769
Phone number: 631-475-7842
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