Marino Clark, Eileen

Marino Clark, Eileen is an sole proprietor health care provider with primary practice located at 14 Valley St , Lake Ronkonkoma NY 11779-1831. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Marino Clark, Eileen can be contacted via phone (631) 372-3610.

Contact Information

Primary practice address
14 Valley St Lake Ronkonkoma NY 11779-1831
Phone: (631) 372-3610
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 170100021 New York

Profile Details

NPI number 1548632128
LBN Legal business name Marino Clark, Eileen
Credentials MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 22nd, 2015
Last updated Oct 22nd, 2015 - about 11 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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