Individual
AMY E CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
100 PT WASHINGTON BLVD, ROSLYN, NY 11576
(516) 629-2479
Mailing address
1400 OLD COUNTRY RD, SUITE 305, WESTBURY, NY 11590-5156
(516) 338-5300
(516) 333-1075
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
010808
NY
Other
Enumeration date
12/27/2007
Last updated
06/13/2008
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