Individual
MRS. RANDI CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
43 CROSSWAYS PARK DR W, WOODBURY, NY 11797-2002
(516) 938-3000
Mailing address
43 CROSSWAYS PARK DR W, WOODBURY, NY 11797-2002
(516) 938-3000
(516) 938-3239
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F3052261
NY
Other
Enumeration date
09/14/2009
Last updated
03/18/2022
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