Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEXTER CLARKE, MSW
Active Sole ProprietorResidential Treatment, Emotionally Disturbed Children · BRONX, NY
Registration Details
- NPI Number
- 1962779793
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 22, 2011 (14.41359431218 yrs)
- Last Updated
- Nov 22, 2011
- Sole Proprietor
- Yes
Practice Information
- Address
-
5050 ISELIN AVEBRONX, NY, 104712915Browse NY providers · Browse ZIP 10471
- Phone
- 7185496700
- Fax
- 7187964614
- Primary Specialty
-
Residential Treatment, Emotionally Disturbed Children
322D00000X
Other Residential Treatment, Emotionally Disturbed Children Providers in BRONX, NY
| Name | Credential | NPI |
|---|---|---|
| ALICIA GREEN | — | 1669759130 |
| DR. TALYA KOOK | PSY.D | 1417370800 |
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.