Active NPIIndividual providerSole proprietor

Ms. Jeanmarie Cleary

Specialist in Staten Island, New York

NPI Number1215613237
Practice location
14 Wiley Pl, Staten Island, NY 10306-2044
Fax
—
Last updated
September 18, 2023

Jeanmarie Cleary is a Specialist based in Staten Island, NY. Jeanmarie Cleary practices in Staten Island, NY. The NPI Number for Jeanmarie Cleary is 1215613237 and holds a License No. 1684675 (NY). The current practice location address for Jeanmarie Cleary is 14 Wiley Pl, Staten Island, NY 10306-2044 and can be reached out via phone at 917-696-4107.

Provider Profile Details

NPI Number
1215613237
Provider Name
Jeanmarie Cleary
Provider Entity Type
Individual
Gender
Female
Address
14 Wiley Pl, Staten Island, NY 10306-2044
Phone Number
917-696-4107
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
Yes
Provider Enumeration Date
June 26, 2023
Last Update Date
September 18, 2023
Certification Date
September 18, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
14 Wiley Pl
Staten Island, NY 10306-2044
Zip
10306-2044
Phone Number
917-696-4107
Staten Island, NY 10306Get directions →

Provider Business Mailing Address Details

Address
14 Wiley Pl
Staten Island, NY 10306-2044
City
Staten Island
State
NY
Zip
10306-2044
Phone Number
917-696-4107

License Information

License Number (1)
1684675
License State (1)
NY
Taxonomy (1)
Case Manager/Care Coordinator · 171M00000X
License Number (2)
1684674
License State (2)
NY
Taxonomy (2)
Specialist · 174400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Jeanmarie Cleary?

The NPI number of Ms. Jeanmarie Cleary is 1215613237. It was assigned on June 26, 2023 and is currently active in the NPPES registry.

What is the specialty of Ms. Jeanmarie Cleary?

Ms. Jeanmarie Cleary is registered under the primary taxonomy Specialist (code 174400000X), licensed in NY under license number 1684675.

Where does Ms. Jeanmarie Cleary practice?

The practice location is 14 Wiley Pl, Staten Island, NY 10306-2044. The office can be reached at 917-696-4107 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215613237 directly on the NPPES registry website.

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