Individual
DONALD JAMES CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
191 INTREPID LN, SYRACUSE, NY 13205-2548
(315) 671-5755
Mailing address
191 INTREPID LN, SYRACUSE, NY 13205-2548
(315) 671-5755
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
001573
NY
Other
Enumeration date
12/04/2012
Last updated
12/04/2012
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