Individual
BRIAN CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3911 RICHMOND AVE, STATEN ISLAND, NY 10312-5110
(718) 948-3232
Mailing address
3911 RICHMOND AVE, STATEN ISLAND, NY 10312-5110
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/04/2018
Last updated
05/04/2018
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