Individual
KATHERINE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
51 W 51ST ST, SUITE 100, NEW YORK, NY 10019-6113
(212) 326-5705
(212) 326-5700
Mailing address
51 W 51ST ST, SUITE 100, NEW YORK, NY 10019-6113
(212) 326-5705
(212) 326-5700
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
686947-1
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F307625-1
NY
Other
Enumeration date
03/24/2015
Last updated
01/13/2017
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