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Search › New York › 104100000X

Shantel Clarke

NPI 1184858839 · on the registry since 2009

Practice

Address
2384 Atlantic Ave
Brooklyn, NY 11233
Phone
(718) 272-6025
Fax
(718) 566-2097
Organisation at this address
Icl Act Team Bushwick
Blended Case Management (Icl)
Icl Act Team Central Brooklyn
Institue For Community Living
Institute For Community Living
Inferred from a shared address, not stated in the registry.
Clinicians at this address
71

Registry record

Primary taxonomy
104100000X
104100000X
Also registered as
1041C0700X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-12-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York