Most Relevant Information
Provider Data
| NPI Number: | 1003285172 |
| Provider Name: | KATHERINE CLARKE |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/18/2015 |
| Last Updated: | 09/18/2015 |
Provider Practice Location
500 LINDA AVE
HAWTHORNE
NY
105321313
Practice Location Phone/Fax
| Phone: | 9147737500 |
| Fax: |
Provider Mailing Location
500 LINDA AVE
HAWTHORNE
NY
105321313
Provider Mailing Phone/Fax
| Phone: | 9147737500 |
| Fax: |