Most Relevant Information
Provider Data
| NPI Number: | 1003336587 |
| Provider Name: | JENNIFER LAUREN MCCLELLAN MST |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/26/2017 |
| Last Updated: | 06/26/2017 |
Provider Practice Location
145 HUGUENOT ST STE 404
NEW ROCHELLE
NY
108015237
Practice Location Phone/Fax
| Phone: | 9142510905 |
| Fax: |
Provider Mailing Location
145 HUGUENOT ST STE 404
NEW ROCHELLE
NY
108015237
Provider Mailing Phone/Fax
| Phone: | 9142510905 |
| Fax: |