DEBORAH CLARK RN
NPI 1811212442
Registered Nurse - Psychiatric/Mental Health, Adult in Rochester, NY
Active since April 07, 2010
About Deborah Clark Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEBORAH CLARK RN (NPI 1811212442) is an individual psychiatric/mental health, adult provider in Rochester, New York, licensed in New York (267098-1) and active in the NPI registry since April 2010.
NPPES Registry Identity
NPI1811212442
Entity TypeIndividualFemale
Primary Taxonomy163WP0809X
Provider Legal NameDEBORAH CLARKCredential: RN
Location Address1111 ELMWOOD AVERochester, NY 14620-3005
Mailing Address1111 Elmwood AveRochester, NY 14620-3005 · (585) 241-1539 · Fax (585) 241-1273
Phone(585) 241-1539
Fax(585) 241-1273
Sole ProprietorYes
Enumeration DateApril 7, 2010
✔ NPI 1811212442 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental Health, AdultNursing Service Providers
Taxonomy Code163WP0809X
License✔ Licensed in NY · 267098-1
1111 ELMWOOD AVE, Rochester, NY 14620
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1111 ELMWOOD AVE
ROCHESTER, NY 14620
ROCHESTER, NY 14620
Psychiatry & Neurology (Psychiatry)
1111 ELMWOOD AVE
ROCHESTER, NY 14620
ROCHESTER, NY 14620
Psychiatry & Neurology (Psychiatry)
1111 ELMWOOD AVE
ROCHESTER, NY 14620
ROCHESTER, NY 14620
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1811212442, enumerated as an "individual" on April 07, 2010.
The provider is located at 1111 ELMWOOD AVE ROCHESTER, NY 14620 and the phone number is (585) 241-1539.
Registered Nurse with taxonomy code 163WP0809X and a focus in Psychiatric/Mental Health, Adult.
