Individual
DR. MARY JANE CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
221 MCDONALD AVE APT 1D, BROOKLYN, NY 11218-1433
(718) 438-9648
Mailing address
221 MCDONALD AVE APT 1D, BROOKLYN, NY 11218-1433
(718) 438-9648
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
025092-1
NY
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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