Individual
JENNIFER CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7901 BROADWAY, ELMHURST, NY 11373-1329
(718) 334-3915
Mailing address
7901 BROADWAY, ELMHURST, NY 11373-1329
Taxonomy
Speciality
Code
Description
License number
State
2080C0008X
Child Abuse Pediatrics Physician
Primary
315543-01
NY
2080C0008X
Child Abuse Pediatrics Physician
MD453628
PA
Other
Enumeration date
05/15/2012
Last updated
08/09/2022
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