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KRISTINA CLARK
NPI 1932733037
Student in an Organized Health Care Education/Training Program in Coram, NY

Active since February 27, 2020
3600 ROUTE 112, CORAM, NY 11727(631) 920-8302 Get Directions Write a Review

NPPES record last updated: February 27, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kristina Clark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTINA CLARK (NPI 1932733037) is an individual student in an organized health care education/training program in Coram, New York and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1932733037
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKRISTINA CLARK
Location Address3600 ROUTE 112Coram, NY 11727-4116
Mailing Address14202 20th AveFlushing, NY 11351-3000
Phone(631) 920-8302
Sole ProprietorYes
Enumeration DateFebruary 27, 2020
✔ NPI 1932733037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3600 ROUTE 112, Coram, NY 11727
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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.

MARY RINGLEN LCSW
Social Worker
3600 ROUTE 112
CORAM, NY 11727
Suffolk County (631) 920-8500
JANINE LYNN COLASUONNO LMHC
Counselor (Mental Health)
3600 ROUTE 112
CORAM, NY 11727
Suffolk County (631) 920-8302
CATHERINE DEYAK LCAT
Art Therapist
3600 ROUTE 112
CORAM, NY 11727
Suffolk County (631) 920-8500
WAYNE GURNICK LCSW
Social Worker (Clinical)
3600 ROUTE 112
CORAM, NY 11727
Suffolk County (631) 920-8302
MRS. CARREEN CASTROLL NP
Nurse Practitioner (Psychiatric/Mental Health)
3600 ROUTE 112
CORAM, NY 11727
Suffolk County (631) 920-8500
MRS. ELIZABETH RATNAMALA BENJAMIN NURSE PRACTIONER
Behavior Analyst
3600 ROUTE 112
CORAM, NY 11727
Suffolk County (631) 920-8500
KERI S NAPOLITANO LMSW
Social Worker (Clinical)
3600 ROUTE 112
CORAM, NY 11727
Suffolk County (631) 920-8500
MS. KIM AXELRAD NPP
Nurse Practitioner (Psychiatric/Mental Health)
3600 ROUTE 112
CORAM, NY 11727
Suffolk County (631) 920-8500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristina Clark's NPI number?

The NPI number for Kristina Clark is 1932733037. It was assigned to this individual provider in the NPPES registry on February 27, 2020.

Where is Kristina Clark located?

Kristina Clark practices at 3600 Route 112, Coram, NY 11727. The listed phone number is (631) 920-8302.

What is Kristina Clark's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kristina Clark was last updated on February 27, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.