Individual
EMILY LAUREN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11 E 29TH ST APT 43A, NEW YORK, NY 10016-7518
(845) 235-2305
Mailing address
11 E 29TH ST APT 43A, NEW YORK, NY 10016-7518
(845) 235-2305
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
23 016665
NY
Other
Enumeration date
07/08/2013
Last updated
07/08/2013
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