Individual
EDWARD CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
1470 MADISON AVE, NEW YORK, NY 10029-6542
(212) 241-6756
Mailing address
3044 MATTHEWS AVE, BRONX, NY 10467-8606
(718) 663-1322
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F347530-01
NY
Other
Enumeration date
04/22/2021
Last updated
04/22/2021
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