FRED CLARKE

JAMAICA, NY
NPI1346206950
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: NY  206376)
Enumeration Date2006-04-22
Last Update Date2013-01-18
Business Address
-- FRED CLARKE MD
20016 HOLLIS AVENUE
JAMAICA, NY 11412
Phone number: 718-736-8204
Mailing Address
-- FRED CLARKE MD
80 MARCUS DR PROVIDER ENROLLMENT
MELVILLE, NY 11747-4230
Phone number: 631-391-7889