Individual
DANNEIL CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1097 E 52ND ST, BROOKLYN, NY 11234-1616
(917) 770-6125
Mailing address
1097 E 52ND ST, BROOKLYN, NY 11234-1616
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
714850
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
415780
RPN
NY
Enumeration date
11/02/2017
Last updated
11/02/2017
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