Individual
MS. STEPHANIE K CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CDN
Contact information
Practice address
515 MADISON AVE, SUITE 1906, NEW YORK, NY 10022-5403
(212) 752-6770
(212) 754-0369
Mailing address
152 KAKEOUT RD, KINNELON, NJ 07405-2541
(201) 259-8887
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
006163
NY
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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