Clark, William A

Clark, William A is an individual health care provider with primary practice located at 777 Seaview Ave , Staten Island NY 10305-3409. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Psychiatric/Mental Health. Nursing Service Providers / Psychiatric/Mental Health is his primary health care specialty. Clark, William A can be contacted via phone (718) 668-8050.

Contact Information

Primary practice address
777 Seaview Ave Staten Island NY 10305-3409
Phone: (718) 668-8050
Fax: (718) 668-8010
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 355046 New York
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 355046 New York

Profile Details

NPI number 1467761114
LBN Legal business name Clark, William A
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2010
Last updated Sep 29th, 2010 - about 15 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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