Active NPIIndividual providerSole proprietor

Alexander Clark, LPN

Registered Nurse in Valley Cottage, New York

NPI Number1275985210
Practice location
181 Ridge RD, Valley Cottage, NY 10989-2353
Fax
—
Last updated
July 25, 2024

Alexander Clark is a Registered Nurse based in Valley Cottage, NY. Alexander Clark practices in Valley Cottage, NY and has the professional credentials of LPN. The NPI Number for Alexander Clark is 1275985210 and holds a License No. 841723-01 (NY). The current practice location address for Alexander Clark is 181 Ridge RD, Valley Cottage, NY 10989-2353 and can be reached out via phone at 917-470-0152.

Provider Profile Details

NPI Number
1275985210
Provider Name
Alexander Clark
Credential
LPN
Provider Entity Type
Individual
Gender
Male
Address
181 Ridge RD, Valley Cottage, NY 10989-2353
Phone Number
917-470-0152
Primary Taxonomy
Registered Nurse · 163W00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 1, 2016
Last Update Date
July 25, 2024
Certification Date
July 25, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
181 Ridge RD
Valley Cottage, NY 10989-2353
Zip
10989-2353
Phone Number
917-470-0152
Valley Cottage, NY 10989Get directions →

Provider Business Mailing Address Details

Address
181 Ridge RD
Valley Cottage, NY 10989-2353
City
Valley Cottage
State
NY
Zip
10989-2353
Phone Number
917-470-0152

License Information

License Number (1)
841723-01
License State (1)
NY
Taxonomy (1)
Registered Nurse · 163W00000X · Primary
License Number (2)
315947
License State (2)
NY
Taxonomy (2)
Licensed Practical Nurse · 164W00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Alexander Clark, LPN?

The NPI number of Alexander Clark, LPN is 1275985210. It was assigned on July 1, 2016 and is currently active in the NPPES registry.

What is the specialty of Alexander Clark, LPN?

Alexander Clark, LPN is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in NY under license number 841723-01.

Where does Alexander Clark, LPN practice?

The practice location is 181 Ridge RD, Valley Cottage, NY 10989-2353. The office can be reached at 917-470-0152 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1275985210 directly on the NPPES registry website.

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