Marino Clark, Eileen
Marino Clark, Eileen is an sole proprietor health care provider with primary practice located at 14 Valley St , Lake Ronkonkoma NY 11779-1831. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Marino Clark, Eileen can be contacted via phone (631) 372-3610.Contact Information
Primary practice address
14 Valley St
Lake Ronkonkoma NY 11779-1831
Phone: (631) 372-3610
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 170100021 | New York |
Profile Details
| NPI number | 1548632128 |
|---|---|
| LBN Legal business name | Marino Clark, Eileen |
| Credentials | MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 22nd, 2015 |
| Last updated | Oct 22nd, 2015 - about 10 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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