Clark, Christine A

Clark, Christine A is an individual health care provider with primary practice located at 11 Evelyn Ct , Manorville NY 11949-2851. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Clark, Christine A can be contacted via phone (631) 801-3188.

Contact Information

Primary practice address
11 Evelyn Ct Manorville NY 11949-2851
Phone: (631) 801-3188
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 180733 New York

Profile Details

NPI number 1144573783
LBN Legal business name Clark, Christine A
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2012
Last updated Oct 19th, 2012 - about 12 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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