Individual
ABIGAIL CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3525 TIEMANN AVE, BRONX, NY 10469-1636
(347) 852-6397
Mailing address
3525 TIEMANN AVE, BRONX, NY 10469-1636
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
781790
NY
Other
Enumeration date
04/08/2021
Last updated
04/08/2021
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