Individual
ANNE MARIE CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2497 GRAND AVE, APT 3 A, BRONX, NY 10468-5148
(718) 924-8020
Mailing address
2497 GRAND AVE, APT 3 A, BRONX, NY 10468-5148
(718) 924-8020
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
294368
NY
Other
Enumeration date
01/07/2009
Last updated
01/07/2009
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