Individual
DEBBIE A. CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
30 SHELBURNE RD, STAMFORD, CT 06902-3628
(203) 276-7387
Mailing address
141 W 4TH ST, MOUNT VERNON, NY 10550-4045
(914) 671-5797
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002879
CT
363A00000X
Physician Assistant
016425-1
NY
Other
Enumeration date
03/25/2013
Last updated
03/25/2013
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