Individual provider · Type 1 NPI
Cecelia Clark
Specialist · Syracuse, NY
NPI number
1750291753
Active
Practice location
318 Mountainview Ave
Syracuse, NY 13224-1222
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
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 1750291753
Cecelia Clark's National Provider Identifier is 1750291753, issued on Sep 10, 2026. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Syracuse, NY. The record was last updated on Sep 10, 2026.