Individual provider · Type 1 NPI

Ondrea Clark

Specialist · Watertown, NY

NPI number 1053712430 Active

Practice location

21638 Reed Rd
Watertown, NY 13601-5048

Mailing address

556 County Route 5
Pulaski, NY 13142-2217

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X1173386 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1053712430

Ondrea Clark's National Provider Identifier is 1053712430, issued on Sep 4, 2014. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Watertown, NY. The record was last updated on Sep 4, 2014.