Jennifer Clarke

Individual provider Child Abuse Pediatrics Physician · NPI 1396004073

Jennifer Clarke is a Child Abuse Pediatrics Physician in Elmhurst, New York. Licensed in New York and Pennsylvania. Registered with an NPI since 2012.

Licensed in: NY, PA
In the registry since: 2012
Specialties on file: 2

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Practice location Address checks out

7901 Broadway
Elmhurst, NY 11373-1329
Phone: (718) 334-3915

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Specialties & licences

Child Abuse Pediatrics Physician (primary)	Taxonomy 2080C0008X · Licence 315543-01 (NY)
Child Abuse Pediatrics Physician	Taxonomy 2080C0008X · Licence MD453628 (PA)

Record details

NPI number	1396004073
Entity type	Individual (Type 1)
Gender	Female
Sole proprietor	No
NPI enumerated	May 15, 2012
Last updated in NPPES	August 9, 2022
Certification date	August 9, 2022
Mailing address	7901 Broadway, Elmhurst, NY 11373-1329