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
ZIP Code
11779-1831
Phone
(631) 372-3610

Specialties & Taxonomy Codes

Specialty
Specialist

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