Most Relevant Information
Provider Data
| NPI Number: | 1003341850 |
| Provider Name: | VILETHA SMALL-CLARKE |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 340959 |
Most Important Dates
| Enumeration Date: | 04/28/2017 |
| Last Updated: | 04/28/2017 |
Provider Practice Location
441 E 53RD ST
BROOKLYN
NY
112034505
Practice Location Phone/Fax
| Phone: | 3479823034 |
| Fax: |
Provider Mailing Location
441 EAST 53RD STREET
BROOKLYN
NY
11203
Provider Mailing Phone/Fax
| Phone: | 3479823034 |
| Fax: |