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Clarence Phibert

NPI 1477283307 · on the registry since 2022 · sole proprietor

Practice

Address
694 Beach 20th St
Far Rockaway, NY 11691
Phone
(718) 634-3445
Fax
(718) 634-3455
Clinicians at this address
23

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-06-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York