Dacres- Clarke, Susan Nadine

Dacres- Clarke, Susan Nadine is an individual health care provider with primary practice located at 13455 176Th St , Jamaica NY 11434. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Dacres- Clarke, Susan Nadine can be contacted via phone (718) 949-6926.

Contact Information

Primary practice address
13455 176Th St Jamaica NY 11434
Phone: (718) 949-6926
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 507084 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 339121 New York

Profile Details

NPI number 1962552588
LBN Legal business name Dacres- Clarke, Susan Nadine
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2007
Last updated Jul 22nd, 2019 - about 5 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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