Individual
SADIKIE CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1065 SOUTHERN BLVD, BRONX, NY 10459-2417
(718) 589-2440
(718) 991-4516
Mailing address
1065 SOUTHERN BLVD, BRONX, NY 10459-2417
(718) 589-2440
(718) 991-4516
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
041581166
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209031872
IL
Other
Enumeration date
06/14/2018
Last updated
09/09/2025
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