SearchNew York163W00000X

Clover Deer

NPI 1902581788 · on the registry since 2023 · sole proprietor

Practice

Address
1124 E 86th St
Brooklyn, NY 11236
Phone
(917) 543-0324

Registry record

Primary taxonomy
163W00000X
163W00000X
Also registered as
363LW0102X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-02-24

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