Mrs. Randi Clarke
Internist - Cardiovascular Disease Nurse Practitioner - Adult Health
43 Crossways Park Dr W
Woodbury
, New York 11797-2002
Mrs. Randi Clarke
Internist - Cardiovascular Disease Nurse Practitioner - Adult Health
43 Crossways Park Dr W
Woodbury
, New York 11797-2002
(516) 938-3239
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About
Features
Specialties
- Internist - Cardiovascular Disease
- Nurse Practitioner - Adult Health
Languages spoken
- English
Location
First Address
- Mrs. Randi Clarke
- 43 Crossways Park Dr W
- Woodbury, NY
- Zip : 11797-2002
- Fax : (516) 938-3239
- Phone : (516) 938-3000
Second Address
- Mrs. Randi Clarke
- 43 Crossways Park Dr W
- Woodbury, NY
- Zip : 11797-2002
- Phone : (516) 938-3000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RC0000X | Internist - Cardiovascular Disease | F3052261 | NY |
| N | 363LA2200X | Nurse Practitioner - Adult Health | F3052261 | NY |
National Provider Identifier
| NPI | 1003149618 |
|---|---|
| Provider Name | Mrs. Randi Clarke |
| First Address | Woodbury, NY 11797-2002 |
| Second Address | Woodbury, NY 11797-2002 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/09/2009 |
| Last Update Date | 09/02/2022 |
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.