Clarke, Rachel G.

Clarke, Rachel G. is an individual health care provider with primary practice located at 750 East Adams St , Syracuse NY 13210. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is her primary health care specialty. Clarke, Rachel G. can be contacted via phone (315) 464-5450.

Contact Information

Primary practice address
750 East Adams St Syracuse NY 13210
Fax: (315) 464-6322
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 270834 Massachusetts
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 307869 New York

Profile Details

NPI number 1548687668
LBN Legal business name Clarke, Rachel G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2014
Last updated Aug 19th, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1548687668 NPPES
New York MEDICAID 06492048

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