| Johana Clerge, | |
|
642 E 103rd St, Brooklyn, NY 11236-2502 | |
| (347) 204-5204 | |
| Not Available |
| Full Name | Johana Clerge |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse |
| Location | 642 E 103rd St, Brooklyn, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497327381 | NPI | - | NPPES |
| 0000000000 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 813428 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Johana Clerge, 642 E 103rd St, Brooklyn, NY 11236-2502 Ph: () - | Johana Clerge, 642 E 103rd St, Brooklyn, NY 11236-2502 Ph: (347) 204-5204 |
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