Individual
ELIZABETH CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10 PLAZA ST E, BROOKLYN, NY 11238-4978
(347) 564-3211
Mailing address
10 PLAZA ST E, 1E, BROOKLYN, NY 11238
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
342253
NY
Other
Enumeration date
09/08/2017
Last updated
09/08/2017
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