Elitsa Clark

NPI 1295000446 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1295000446
Gender Female
Enumeration Date 03/20/2012
Last Updated 03/20/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
300 COMMUNITY DR
MANHASSET NY, 11030-3816, US
Phone (516) 562-0100
Fax
Business Location
300 COMMUNITY DR
MANHASSET NY, 11030-3816, US
Phone (516) 562-0100
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Elitsa Clark NPI is 1295000446, taxonomy code is 390200000X Elitsa Clark physically located at 300 Community Dr, Manhasset NY, 11030-3816. NPI Number Elitsa Clark has the Individual type.

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1295000446 NPI number is provided on an as is basis without warranty of any kind. 1295000446 is maintained by the National Plan & Provider Enumeration System. The contents of Elitsa Clark are for informational purposes only.