Individual provider · Type 1 NPI

Sophia Loreen Clarke, NP

Adult Health Nurse Practitioner · New Hyde Park, NY

NPI number 1205006749 Active

Practice location

1999 Marcus Ave, Suite 120
New Hyde Park, NY 11042-1017

Mailing address

120 N 7th St
New Hyde Park, NY 11040-3027

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X303738 (NY)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1205006749

Sophia Loreen Clarke, NP's National Provider Identifier is 1205006749, issued on Mar 11, 2008. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in New Hyde Park, NY. The record was last updated on Aug 4, 2009.