Individual
CINY DILLON-CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
89 BARTLETT ST FL 2, BROOKLYN, NY 11206-4463
(718) 828-2666
Mailing address
382 LEGION ST, BROOKLYN, NY 11212-4302
(646) 683-6648
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
3348351
NY
Other
Enumeration date
05/08/2019
Last updated
05/08/2019
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