Individual
MR. WILLIAM A CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
777 SEAVIEW AVE, STATEN ISLAND, NY 10305-3409
(718) 668-8050
(718) 668-8010
Mailing address
777 SEAVIEW AVE, STATEN ISLAND, NY 10305-3409
(718) 668-8050
(718) 668-8010
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
355046
NY
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
355046
NY
Other
Enumeration date
09/29/2010
Last updated
09/29/2010
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