Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER CLARKE
ActiveJENNIFER CLARKE is a 2080C0008X healthcare provider located in ELMHURST, New York. NPI 1396004073 is currently active in the NPPES registry. Verify at CMS.
2080C0008X · ELMHURST, NY
Registration Details
- NPI Number
- 1396004073
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 15, 2012 (14.277737059587 yrs)
- Last Updated
- Aug 9, 2022
- Licenses
-
315543-01 (NY)MD453628 (PA)
Practice Information
- Address
-
7901 BROADWAYELMHURST, NY, 113731329Browse NY providers · Browse ZIP 11373
- Phone
- 7183343915
- Primary Specialty
-
2080C0008X
2080C0008X
- Additional Specialty
- 2080C0008X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.