Search › New York › 106E00000X
Shanequa Clark
NPI 1336684679 · on the registry since 2016 · sole proprietor
Practice
- Address
- 628 Tinton Ave
3rd Floor P17x @161
Bronx, NY 10455 - Phone
- (718) 993-5642
- Organisation at this address
- Urban Health Plan, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 106E00000X
106E00000X
- Sex
- Female
- Record last updated
- 2016-12-22
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