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Contact Information

JENNIFER CLARKE
7901 BROADWAY
ELMHURST, NY11373-1329
 Phone: 718-334-3915
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child Abuse Pediatrics

2080C0008X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for JENNIFER CLARKE · (Female)

NPI Number 1396004073
Status Active
Credentials
Entity Individual
Enumeration date 05/15/2012
Last updated 08/09/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 315543-01
  • PA License # MD453628
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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