Individual
EMILY FAITH CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
111050 MOUNT BELVEDERE BLVD, FORT DRUM, NY 13602
(254) 537-3292
Mailing address
111050 MOUNT BELVEDERE BLVD, FORT DRUM, NY 13603
(254) 537-3292
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/15/2021
Last updated
01/26/2026
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