Clark, Gabrielle

Clark, Gabrielle is an individual health care provider with primary practice located at 11720 Partridge Rd , Holland NY 14080-9800. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Clark, Gabrielle can be contacted via phone (716) 537-8279.

Contact Information

Primary practice address
11720 Partridge Rd Holland NY 14080-9800
Phone: (716) 537-8279
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X 702723-1 New York

Profile Details

NPI number 1770068108
LBN Legal business name Clark, Gabrielle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2018
Last updated Oct 2nd, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1770068108 NPPES
New York MEDICAID 166001806

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