Dashawn Clark

NPI #1013165307 in Roosevelt, New York

Provider Information

NPI Number: 1013165307
Entity Type: Individual
Name: Dashawn Clark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse
Enumeration Date: Aug 29, 2008
Last Updated: Aug 29, 2008

Practice Location

Address: 25 JOHN ST
City: Roosevelt
State: New York
ZIP Code: 11575-1719
Phone: (516) 623-2766

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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