Clark, Laura
Clark, Laura is an sole proprietor health care provider with primary practice located at 1498 Clove Rd , Staten Island NY 10301-4314. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutritionist, which is considered as her primary health care specialty. Clark, Laura can be contacted via phone (718) 494-2690.Contact Information
Primary practice address
1498 Clove Rd
Staten Island NY 10301-4314
Phone: (718) 494-2690
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Nutritionist | 133N00000X |
Profile Details
| NPI number | 1316657166 |
|---|---|
| LBN Legal business name | Clark, Laura |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 2nd, 2022 |
| Last updated | Dec 2nd, 2022 - about 3 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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