Individual provider · Type 1 NPI

Carmen Elena Clark, IBCLC, RLC

Specialist · Teaneck, NJ

NPI number 1154523652 Active

Practice location

324 Edgewood Ave
Teaneck, NJ 07666-3021

Call (201) 837-7646 Map

Fax (201) 353-7936

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

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 1154523652

Carmen Elena Clark, IBCLC, RLC's National Provider Identifier is 1154523652, issued on Jun 5, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Teaneck, NJ. The record was last updated on Jul 8, 2007.