Individual provider · Type 1 NPI
Andrew Thomas Clark, FNP-BC, DNP
Family Nurse Practitioner · New York, NY
NPI number
1609365352
Active
Practice location
1270 Avenue Of The Americas Ste 757
New York, NY 10020-1700
Mailing address
137 Dark Hollow Rd
Port Jefferson, NY 11777-2047
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 343027 (NY) |
| Critical Care Medicine Registered Nurse | 163WC0200X | 690785 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1609365352
Andrew Thomas Clark, FNP-BC, DNP's National Provider Identifier is 1609365352, issued on May 8, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in New York, NY. The record was last updated on Feb 10, 2023.