Individual
MS. CYNTHIA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
202 LAKELAND AVE, SAYVILLE, NY 11782-1916
(516) 497-4354
Mailing address
202 LAKELAND AVE, SAYVILLE, NY 11782-1916
(516) 497-4354
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
556675-01
NY
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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