Clarke, Roxann Vinelle

Clarke, Roxann Vinelle is an sole proprietor health care provider with primary practice located at 111 John St Rm 1450 , New York NY 10038. She recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Foot Surgery is her primary health care specialty. Clarke, Roxann Vinelle can be contacted via phone (212) 791-5700.

Contact Information

Primary practice address
111 John St Rm 1450 New York NY 10038
Phone: (212) 791-5700
Fax: (212) 791-5700
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 006461 New York
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 006461 New York

Profile Details

NPI number 1174829923
LBN Legal business name Clarke, Roxann Vinelle
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2011
Last updated Jul 13th, 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 1174829923 NPPES
New York MEDICAID 303480059

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