Individual
MS. CORA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
34 SCHOOL ST, LAKE PLACID, NY 12946-3323
(518) 523-2474
Mailing address
34 SCHOOL ST, LAKE PLACID, NY 12946-3323
(518) 523-2474
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
296683-1
NY
Other
Enumeration date
09/05/2014
Last updated
09/05/2014
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