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Contact Information

COLLETTE A CLARKE, RN
34 LILLIE LN
STATEN ISLAND, NY10314-6358
 Phone: 347-585-3598
 Fax: 347-442-3100
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
 

Contractor

171W00000X
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Home Health

163WH0200X
Indicates primary specialty

NPI Profile & details for COLLETTE A CLARKE · (Female)

NPI Number 1477802684
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 09/04/2012
Last updated 09/04/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 657617
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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