Individual
LYDIA LOUISE CLARK-SUMPTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
2588 7TH AVE, APT 5C, NEW YORK, NY 10039-2605
(917) 251-2912
Mailing address
2588 7TH AVE, APT 5C, NEW YORK, NY 10039-2605
(917) 251-2912
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
381663
NY
Other
Enumeration date
03/24/2015
Last updated
03/24/2015
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