Individual
RACHEL G. CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
750 EAST ADAMS ST, SYRACUSE, NY 13210
(315) 464-5450
(315) 464-6322
Mailing address
251 SALINA MEADOWS PKWY, SUITE 100, SYRACUSE, NY 13212-4516
(315) 464-2000
(315) 464-2010
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
270834
MA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
307869
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06492048
—
NY
Enumeration date
03/26/2014
Last updated
08/19/2021
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