Individual
ALEX CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC, RN
Contact information
Practice address
160 W 26TH ST FL 4, NEW YORK, NY 10001-6975
(212) 924-2510
Mailing address
160 W 26TH ST FL 4, NEW YORK, NY 10001-6975
(212) 924-2510
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
720899-1
NY
363LF0000X
Family Nurse Practitioner
Primary
343460
NY
Other
Enumeration date
03/06/2017
Last updated
04/10/2024
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