Individual
DANIELLE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0002
(585) 478-1737
Mailing address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0002
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
432067
NY
Other
Enumeration date
08/16/2021
Last updated
08/16/2021
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