Individual
MS. ANDREA MARIE ODWIN-CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
80TH ST & 41ST AVE, ELMHURST, NY 11373-1329
(718) 334-4000
(718) 334-4000
Mailing address
79-01 BROADWAY, D1-01, ELMHURST, NY 11373-1329
(718) 334-4000
(718) 334-4000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F302468
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00246075
—
NY
Enumeration date
10/02/2006
Last updated
02/17/2009
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