Alyssa Clarke
Individual provider Active NPI Licensed Practical Nurse · Uniondale, NY
NPI 1720478142 · NPPES record last updated Jan 24, 2015
Key facts
- NPI
- 1720478142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 320979-1 (NY)
- Practice address
- 724 Waypark Ave
Uniondale, NY 11553-2627 - Phone
- (516) 782-4596
- NPI assigned
- Jan 24, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 320979-1 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 320979-1 | NY | Yes |
Addresses
Primary practice location
724 Waypark Ave
Uniondale, NY 11553-2627
Mailing address
724 Waypark Ave
Uniondale, NY 11553-2627
Phone (516) 782-4596
Other providers in Uniondale, NY
- Mara Chiles
- Jeffrey Michael Ciccone
- Circle of Care and Hope Mental Health Healing and Empowerment Center,
- City Medical of New Jersey, PC
- Stephen Clacherty
- Remington Codio
- Keith Coles
- Natasha Collado
- Roselin Colthirst
- Michelle Compass
All providers in Uniondale, NY · Licensed Practical Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.