Individual
GREG CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
590 FLATBUSH AVE APT 2P, BROOKLYN, NY 11225-4974
(718) 715-8420
Mailing address
PO BOX 250330, BROOKLYN, NY 11225-0330
(212) 529-8172
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/23/2021
Last updated
07/23/2021
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