Clark, Elisa Sue

Clark, Elisa Sue is an individual health care provider with primary practice located at 22 Falmouth Dr , Mount Sinai NY 11766-2722. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Clark, Elisa Sue can be contacted via phone (631) 642-7564.

Contact Information

Primary practice address
22 Falmouth Dr Mount Sinai NY 11766-2722
Phone: (631) 642-7564
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 262941 New York

Profile Details

NPI number 1639366842
LBN Legal business name Clark, Elisa Sue
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2007
Last updated Oct 2nd, 2007 - about 17 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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