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Individual

STEVEN CLARKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
8 AVENUE A, HOLBROOK, NY 11741-2008
(631) 903-3567
Mailing address
8 AVENUE A, HOLBROOK, NY 11741-2008
(631) 903-3567

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
677790
NY
163WH0200X
Home Health Registered Nurse
677790
NY
363L00000X
Nurse Practitioner
Primary
347985
NY

Other

Enumeration date
09/17/2013
Last updated
08/12/2024
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