Individual
SARAH E CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA
Contact information
Practice address
500 STATE ST, SCHENECTADY, NY 12305-2414
(518) 489-2663
(518) 689-3881
Mailing address
121 EVERETT RD, ALBANY, NY 12205-1474
(518) 489-2663
(518) 689-3881
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
012671-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012671
NY LICENSE
NY
05
—
05009370
—
NY
Enumeration date
10/10/2008
Last updated
12/07/2023
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