Individual
BRIDGETTE CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
538 BROADHOLLOW RD, SUITE 202, MELVILLE, NY 11747-3676
(910) 978-8350
Mailing address
1627 JOHNSON AVE, ELMONT, NY 11003-2233
(910) 978-8350
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/14/2016
Last updated
01/14/2016
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