KEITH A CLEMENT NP

HEALTHSOURCE MEDICAL SERVICES, PLLC

Dr KEITH A CLEMENT NP is a male medical professional, specializing in Nurse Practitioner. He graduated in 2000.

Contact

HEALTHSOURCE MEDICAL SERVICES, PLLC

3001 EXPRESS DR N
SUITE 104
ISLANDIA
NY
117495301

Tel: 6314350110

KEITH A CLEMENT NP Information

Npi 1528058732
Pac Id 9739129453
Professional Enrollment Id I20050511000846
Last Name CLEMENT
First Name KEITH
Middle Name A
Suffix
Gender M
Credential NP
Medical School Name OTHER
Graduation Year 2000
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name HEALTHSOURCE MEDICAL SERVICES, PLLC
Group Practice Pac Id 1557495876
Number Of Group Practice Members 5
Line 1 Street Address 3001 EXPRESS DR N
Line 2 Street Address SUITE 104
Marker Of Address Line 2 Suppression
City ISLANDIA
State NY
Zip Code 117495301
Phone Number 6314350110
Hospital Affiliation Ccn 1 330154
Hospital Affiliation Lbn 1 MEMORIAL HOSPITAL FOR CANCER AND ALLIED DISEASES
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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