| Doctor Name: | STEPHEN CLACHERTY |
| NPI Number: | 1114399052 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RN |
| License Number: | 296678 |
| Business Practice Address: | 60 Charles Lindbergh Blvd Suite 260 Uniondale, NY - 115533653 |
| Business Phone Number: | 5162271499 |
| Business Fax Number: | |
| Mailing Address: | 4 Chablis Ct, CORAM |
| State: | NY |
| Postal Code: | 117272424 |
| Phone Number: | 6316262076 |
| Fax Number: | |
| NPI Enumeration Date: | 10/29/2015 |
| NPI Last Update Date: | 10/29/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0808X |
| License Number: | 296678 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |