Lydia Louise Clark-Sumpter
Nurse Practitioner - Pediatrics
2588 7th Ave Apt 5c
New York
, New York 10039-2605
Lydia Louise Clark-Sumpter
Nurse Practitioner - Pediatrics
2588 7th Ave Apt 5c
New York
, New York 10039-2605
(917) 251-2912
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Lydia Louise Clark-Sumpter
- 2588 7th Ave Apt 5c
- New York, NY
- Zip : 10039-2605
- Phone : (917) 251-2912
Second Address
- Lydia Louise Clark-Sumpter
- 2588 7th Ave Apt 5c
- New York, NY
- Zip : 10039-2605
- Phone : (917) 251-2912
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Is Lydia Louise Clark-Sumpter a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | 381663 | NY |
National Provider Identifier
| NPI | 1023402401 |
|---|---|
| Provider Name | Lydia Louise Clark-Sumpter |
| First Address | New York, NY 10039-2605 |
| Second Address | New York, NY 10039-2605 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/03/2015 |
| Last Update Date | 24/03/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.