MS. Elisa Sue Clark, LPN

NPI #1639366842 in Mount Sinai, New York

Provider Information

NPI Number
1639366842
Entity Type
Individual
Name
MS. Elisa Sue Clark, LPN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Oct 2, 2007
Last Updated
Oct 2, 2007

Practice Location

Address
22 FALMOUTH DR
ZIP Code
11766-2722
Phone
(631) 642-7564

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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