Clark, Heather

Clark, Heather is an sole proprietor health care provider with primary practice located at 320 Carleton Ave Fl 8 , Central Islip NY 11722-4506. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Clark, Heather can be contacted via phone (631) 663-4300.

Contact Information

Primary practice address
320 Carleton Ave Fl 8 Central Islip NY 11722-4506
Phone: (631) 663-4300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1598470908
LBN Legal business name Clark, Heather
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 19th, 2023
Last updated Jan 19th, 2023 - about 2 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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