Individual
CLARA LUCIA KLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1691 WEEKS AVE, BRONX, NY 10457-7005
(718) 583-6000
(718) 731-0631
Mailing address
1691 WEEKS AVE, BRONX, NY 10457-7005
(718) 583-6000
(718) 731-0631
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
488087
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
488087
—
NY
Enumeration date
08/03/2017
Last updated
08/03/2017
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