Individual
DALIAH A. CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
321 BEACH 29TH ST, FAR ROCKAWAY, NY 11691-2107
(646) 732-6574
(718) 978-0032
Mailing address
321 BEACH 29TH ST, FAR ROCKAWAY, NY 11691-2107
(646) 732-6574
(718) 978-0032
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
292966
NY
Other
Enumeration date
03/26/2025
Last updated
03/26/2025
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