Individual provider · Type 1 NPI

Tracy Jill Clark

Specialist · Troy, NY

NPI number 1447496898 Active

Practice location

435 4th St
Troy, NY 12180-5324

Mailing address

144 Acorn Dr
Scotia, NY 12302-4717

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X4769-1 (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 1447496898

Tracy Jill Clark's National Provider Identifier is 1447496898, issued on Jan 6, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Troy, NY. The record was last updated on Jan 6, 2009.