Individual
ALEXANDERA K CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
420 FRONT STREET, ELMER, NJ 08318-2177
(856) 358-1500
(856) 358-1117
Mailing address
5 COLUMBUS CIRCLE, FL 8, NEW YORK, NY 10019-1412
(212) 664-9323
(212) 664-9341
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0125761
NY
363AS0400X
Surgical Physician Assistant
012576
NY
Other
Enumeration date
06/30/2008
Last updated
05/29/2019
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