Individual
JULIA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2445 ROSENDALE RD, NISKAYUNA, NY 12309-1309
(518) 377-3123
(518) 377-1098
Mailing address
2445 ROSENDALE RD, NISKAYUNA, NY 12309-1309
(518) 377-3123
(518) 377-1098
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
718766-1
NY
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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