Individual
MS. ANNE P. CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
71 LORRAINE AVE, BUFFALO, NY 14220-1740
(716) 816-4570
(716) 816-1201
Mailing address
71 LORRAINE AVE, BUFFALO, NY 14220-1740
(716) 816-4570
(716) 816-1201
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2366131
NY
Other
Enumeration date
01/17/2012
Last updated
01/17/2012
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