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Contact Information

MELINDA CLARKE, MS, RN, FNP, PMHNP
80 ORVILLE DR STE 100
BOHEMIA, NY11716-2505
 Phone: 631-500-5925
 Fax: 631-500-5979
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for MELINDA CLARKE · (Female)

NPI Number 1184999344
Status Active
Credentials MS, RN, FNP, PMHNP
Entity Individual
Enumeration date 03/20/2012
Last updated 10/18/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 344753
  • NY License # 405889
  • NY License # 687063
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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