Jasmin D Clark
Counselor, Mental Health in South Ozone Park, New York
1679062293- Practice location
- 11578 Lefferts Blvd # 2, South Ozone Park, NY 11420-2406
- Phone
- 646-281-7793
- Fax
- —
- Last updated
- May 9, 2018
Jasmin Desrie Clark is a Counselor, Mental Health based in South Ozone Park, NY. Jasmin Desrie Clark practices in South Ozone Park, NY. The NPI Number for Jasmin Desrie Clark is 1679062293 and holds a License No. NYCPS-P-2029 (NY). The current practice location address for Jasmin Desrie Clark is 11578 Lefferts Blvd # 2, South Ozone Park, NY 11420-2406 and can be reached out via phone at 646-281-7793.
Provider Profile Details
- NPI Number
- 1679062293
- Provider Name
- Jasmin Desrie Clark
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 11578 Lefferts Blvd # 2, South Ozone Park, NY 11420-2406
- Phone Number
- 646-281-7793
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 9, 2018
- Last Update Date
- May 9, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 11578 Lefferts Blvd # 2
South Ozone Park, NY 11420-2406 - City
- South Ozone Park
- State
- New York
- Zip
- 11420-2406
- Phone Number
- 646-281-7793
Provider Business Mailing Address Details
- Address
- 125 Broad St,
3 RD Floor
New York, NY 10004 - City
- New York
- State
- NY
- Zip
- 10004
- Phone Number
- 917-580-0179
License Information
- License Number
- NYCPS-P-2029
- License State
- NY
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Jasmin D Clark?
The NPI number of Jasmin D Clark is 1679062293. It was assigned on May 9, 2018 and is currently active in the NPPES registry.
What is the specialty of Jasmin D Clark?
Jasmin D Clark is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NY under license number NYCPS-P-2029.
Where does Jasmin D Clark practice?
The practice location is 11578 Lefferts Blvd # 2, South Ozone Park, NY 11420-2406. The office can be reached at 646-281-7793 (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 1679062293 directly on the NPPES registry website.