Individual
ALBERT G CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1470 WEST AVE, APT. 6E, BRONX, NY 10462-7349
(727) 430-4859
Mailing address
1470 WEST AVE, APT. 6E, BRONX, NY 10462-7349
(727) 430-4859
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
305725
NY
Other
Enumeration date
08/04/2011
Last updated
08/04/2011
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