Individual
MS. BRIGID AMICO CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
366 MENDON RD, PITTSFORD, NY 14534-3024
(585) 353-4629
Mailing address
366 MENDON RD, PITTSFORD, NY 14534-3024
(585) 353-4629
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
10312421
NY
Other
Enumeration date
07/23/2013
Last updated
07/23/2013
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