Individual provider · Type 1 NPI
William A. Clark, RN
Psychiatric/Mental Health Registered Nurse · Staten Island, NY
NPI number
1467761114
Active
Practice location
777 Seaview Ave
Staten Island, NY 10305-3409
Fax (718) 668-8010
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 355046 (NY) |
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | 355046 (NY) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1467761114
William A. Clark, RN's National Provider Identifier is 1467761114, issued on Sep 29, 2010. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Staten Island, NY. The record was last updated on Sep 29, 2010.