Individual provider · Type 1 NPI

Eileen Marino Clark, MS

Specialist · Lake Ronkonkoma, NY

NPI number 1548632128 Active

Practice location

14 Valley St
Lake Ronkonkoma, NY 11779-1831

Call (631) 372-3610 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X170100021 (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 1548632128

Eileen Marino Clark, MS's National Provider Identifier is 1548632128, issued on Oct 22, 2015. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Lake Ronkonkoma, NY. The record was last updated on Oct 22, 2015.