Individual
CLARICE M HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4979 HARLEM RD, AMHERST, NY 14226-2547
(716) 923-4380
(716) 923-4384
Mailing address
4979 HARLEM RD, AMHERST, NY 14226-2547
(716) 923-4380
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
310196
NY
Other
Enumeration date
03/29/2021
Last updated
03/29/2021
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