Clark, Adam

Clark, Adam is an sole proprietor health care provider with primary practice located at 16101 89Th Ave , Jamaica NY 11432-3902. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Clark, Adam can be contacted via phone (718) 262-8190.

Contact Information

Primary practice address
16101 89Th Ave Jamaica NY 11432-3902
Phone: (718) 262-8190
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1093096083
LBN Legal business name Clark, Adam
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 2nd, 2011
Last updated Sep 2nd, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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