IndividualActive
Ailis Clyne, MD
NPI 1902890197 · Pediatrics Physician · Warwick, RI
Provider details
- NPI number
- 1902890197
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- MD09744 (RI)
Practice location
300 Centerville Rd
The Summit East, Suite 110
Warwick, RI 02886-0200
Phone: (401) 615-2299
Fax: (401) 615-7529
Mailing address
10 Davol Sq
Providence, RI 02903-4754
Registry dates
- Enumerated
- 2005-09-02
- Last updated
- 2016-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.