Individual
CYNTHIA CLIFFORD-CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 RUBY ST, ROME, NY 13440-2565
(315) 338-5366
Mailing address
6560 SHOLTZ RD, VERONA, NY 13478-2711
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
631015-1
NY
Other
Enumeration date
12/11/2013
Last updated
12/11/2013
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