Individual
ZADA CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1045 E 52ND ST, BROOKLYN, NY 11234-1616
(718) 531-6172
Mailing address
1045 E 52ND ST, BROOKLYN, NY 11234-1616
(718) 531-6172
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
419956
NY
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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