Individual
SHERYL CLARK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8900 VAN WYCK EXPRESSWAY, JAMAICA ANESTHESIA ASSOCIATES PC, JAMAICA, NY 11418
(718) 206-6088
(718) 206-8087
Mailing address
89-06 135TH ST, 7L, JAMAICA, NY 11418
(718) 206-6984
(718) 206-6786
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
184234
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01781566
—
NY
Enumeration date
06/09/2006
Last updated
07/08/2007
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