DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. EILEEN MARINO CLARK, MS

Active Sole Proprietor

MS. EILEEN MARINO CLARK, MS is a Specialist healthcare provider located in LAKE RONKONKOMA, New York. NPI 1548632128 is currently active in the NPPES registry. Verify at CMS.

Specialist · LAKE RONKONKOMA, NY

Registration Details

NPI Number
1548632128
Provider Type
Individual
Gender
Female
NPI Issued
Oct 22, 2015 (10.796785326657 yrs)
Last Updated
Oct 22, 2015
License
170100021 (NY)
Sole Proprietor
Yes

Practice Information

Address
14 VALLEY ST
LAKE RONKONKOMA, NY, 117791831
Browse NY providers · Browse ZIP 11779
Phone
6313723610
Primary Specialty
Specialist
174400000X

Other Specialist Providers in LAKE RONKONKOMA, NY

Name Credential NPI
JENNIFER GRACE WILEY 1821351602
MS. KELLY TERESA MARVULLO 1699022830
MS. BRIENNE JAMIE ERB 1427307800
TARA JENSEN 1992195408
PATRICIA AULETTA 1881044071
MRS. KRISTEN IRIS BUNZE 1912720145
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.