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Nicole Clark, MS STUDENTS WITH DIS
NPI 1598165144 · on the registry since 2014 · sole proprietor
Practice
- Address
- 1787 Village Ln N
Wantagh, NY 11793 - Phone
- (516) 809-6866
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-09-02
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