MR. TIMOTHY JERUM CLARK, NP
Nursing at Hart Ave, Staten Island, NY

License number
New York 341667
Category
Nursing
Type
Family
Address
Address
246 Hart Ave, Staten Island, NY 10310
Phone
(347) 306-8981
National Provider ID: 1518492008
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Personal information

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Name
Address
Phone
Timothy Clark, age 46
4 Fairway Dr APT A, Batavia, NY 14020
Timothy Clark
4925 Dyer Hill Rd, Avoca, NY 14809
(607) 522-4851
Timothy Clark, age 51
47 Sherwood Dr, East Islip, NY 11730
(631) 581-0131
Timothy Clark, age 64
4837 Jockey St, Ballston Spa, NY 12020

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