Individual
CAROLYN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
6339 MILL ST, RHINEBECK, NY 12572-1427
(845) 871-1000
(845) 876-2020
Mailing address
6339 MILL ST, RHINEBECK, NY 12572-1427
(845) 871-1000
(845) 876-2020
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
329887-1
NY
Other
Enumeration date
10/21/2014
Last updated
10/21/2014
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