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Sparkle Starr Clark
Non-emergency Medical Transport (VAN) in Rochester, New York
NPI 1194347302

Sparkle Starr Clark is a Non-emergency Medical Transport (VAN) based in Rochester, NY. Sparkle Starr Clark practices in Rochester, NY. The NPI Number for Sparkle Starr Clark is 1194347302 and holds a License No. (New York).

The current practice location address for Sparkle Starr Clark is 9 Daisy St, Rochester, NY and can be reached out via phone at 585-208-9280.

Location: 9 Daisy St, Rochester, NY, 14615-3610
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194347302
Provider Name
Sparkle Starr Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
9 Daisy St, Rochester, NY, 14615-3610
Phone Number
585-208-9280
Fax Number
Provider Enumeration Date
05/11/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05097269 01 NY PROVIDER ID
05097269 05 NY
institution
Provider Business Practice Location Address Details
Address
9 Daisy St
City
Rochester
State
New York
Zip
14615-3610
Phone Number
585-208-9280
Fax Number
person
Provider Business Mailing Address Details
Address
9 Daisy St
City
Rochester
State
New York
Zip
14615-3610
Phone Number
585-208-9280
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
(New York)
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
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