NPI 1275975864

Heather N Clarke, MAECONMSCMSPED

Practitioner Contractor Woodside, NY

Practice location

Address: 3047 Hobart St APT 3j, Woodside, NY 11377-1463
Phone: (347) 684-7067

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 399317 (NY)

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Registry record

NPI: 1275975864
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Jul 2013
Record last updated: 23 Jul 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.