MRS. KERRIE LYNNE CLARK MSED
NPI 1033464383
Specialist in Lindenhurst, NY
- Individual
- Female
- Specialist
About KERRIE CLARK
This page provides the complete NPI Profile along with additional information for Kerrie Clark, a provider established in Lindenhurst, New York with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1033464383 assigned on July 2012. The practitioner's primary taxonomy code is 174400000X with license number 1825979 (NY). The provider is registered as an individual and her NPI record was last updated 14 years ago.
- NPI
- 1033464383 Verify this NPI
- Provider Name
- MRS. KERRIE LYNNE CLARK MSED
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 51 3RD ST LINDENHURST, NY 11757
- Location Phone
- (631) 957-2242
- Mailing Address
- 51 3RD ST LINDENHURST, NY 11757
- Mailing Phone
- (631) 957-2242
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-23-2012
- Last Update Date
- 07-23-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- 1825979
- License State
- NY
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033464383, enumerated as an "individual" on July 23, 2012.
The provider is located at 51 3RD ST LINDENHURST, NY 11757 and the phone number is (631) 957-2242.
Specialist with taxonomy code 174400000X.
