Individual
SARAH ELAINE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 E MAIN ST, MOUNT KISCO, NY 10549
(914) 666-1200
Mailing address
1465 E PUTNAM AVE APT 610, OLD GREENWICH, CT 06870-1337
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
605364
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
605364
NY
Other
Enumeration date
05/08/2018
Last updated
10/15/2018
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