Individual
MS. ESTHER ELAINE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
229 GARDNERVILLE RD, NEW HAMPTON, NY 10958-4425
(845) 355-6262
Mailing address
229 GARDNERVILLE RD, NEW HAMPTON, NY 10958-4425
(845) 355-6262
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
279798-1
NY
251E00000X
Home Health Agency
Primary
279798-1
NY
251J00000X
Nursing Care Agency
279798-1
NY
Other
Enumeration date
06/17/2010
Last updated
06/17/2010
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