Heather Clark
Heather Clark is a Student in an Organized Health Care Education/Training Program in Central Islip, New York. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
320 Carleton Ave Fl 8Central Islip, NY 11722-4506
Phone: (631) 663-4300
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1598470908 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 19, 2023 |
| Last updated in NPPES | January 19, 2023 |
| Certification date | January 19, 2023 |
| Mailing address | 790 Park Ave, Huntington, NY 11743-4516 |
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