MS. Eileen Marino Clark, MS
NPI #1548632128 in Lake Ronkonkoma, New York
Provider Information
- NPI Number
- 1548632128
- Entity Type
- Individual
- Name
- MS. Eileen Marino Clark, MS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- MS
- Enumeration Date
- Oct 22, 2015
- Last Updated
- Oct 22, 2015
Practice Location
- Address
- 14 VALLEY ST
- City
- Lake Ronkonkoma
- State
- New York
- ZIP Code
- 11779-1831
- Phone
- (631) 372-3610
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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