Individual
SHENEKA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41 FLATBUSH AVE, BROOKLYN, NY 11217-1160
(347) 369-0972
Mailing address
41 FLATBUSH AVE, BROOKLYN, NY 11217-1160
(347) 369-0072
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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