Individual
SPARKLE STARR CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
670358397
NY
343900000X
Non-emergency Medical Transport (VAN)
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05097269
PROVIDER ID
NY
05
—
05097269
—
NY
Enumeration date
05/11/2020
Last updated
05/11/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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