Individual
CHARLES MCCARROL CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3811 BROADWAY, 3RD FLOOR, ASTORIA, NY 11103-4045
(718) 726-5953
(718) 204-5308
Mailing address
3811 BROADWAY, 3RD FLOOR, ASTORIA, NY 11103-4045
(718) 726-5953
(718) 204-5308
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
544350
NY
Other
Enumeration date
03/23/2010
Last updated
03/23/2010
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