Individual
CARA A CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
SUMMIT SCHOOL NYACK, 339 NORTH BROADWAY, UPPER NYACK, NY 10960
(845) 358-7772
(845) 358-0561
Mailing address
26 SALMAR AVE, PEARL RIVER, NY 10965-1322
(914) 261-3180
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
473158-1
NY
163WS0200X
School Registered Nurse
473158-1
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F406155-01
NY
Other
Enumeration date
07/28/2021
Last updated
07/25/2024
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