Clark, Nashon

Clark, Nashon is an sole proprietor health care provider with primary practice located at 100 Broadhollow Rd Ste 317 , Farmingdale NY 11735-4813. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Clark, Nashon can be contacted via phone (516) 600-0440.

Contact Information

Primary practice address
100 Broadhollow Rd Ste 317 Farmingdale NY 11735-4813
Fax: (516) 600-0441
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 086429 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X C013535 North Carolina

Profile Details

NPI number 1447767371
LBN Legal business name Clark, Nashon
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 31st, 2017
Last updated Feb 11th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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