Individual
MRS. AMY E. CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NY 016459
Contact information
Practice address
71 BUFFALO ST, HORNELL, NY 14843-1507
(607) 324-0640
(607) 324-1301
Mailing address
71 BUFFALO ST, HORNELL, NY 14843-1507
(607) 324-0640
(607) 324-1301
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
016459
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016459
—
NY
Enumeration date
12/23/2011
Last updated
12/23/2011
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