CHRISTINE CLARK (NPI# 1548876097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548876097 |
| Entity Type | Individual |
| Full Name | CHRISTINE CLARK |
| Practice Address |
1440 Broadway New York NY 10018-2301 |
| Practice Telephone | 8663892727 |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2020-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
346641 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912531708 | Christine Mccarthy Clark | Dietitian, Registered | 1 W Foster St Ste 3, Melrose, MA 02176-3879 | 2020-03-02 |
| 1063963395 | Christine Michelle Clark | Counselor | 6321 Terra Rosa Cir, Boynton Beach, FL 33472-5144 | 2016-10-21 |
| 1932514288 | Christine M Clark | Psychiatry & Neurology | 1 University of New Mexico # 95030, Albuquerque, NM 87131-0001 | 2014-06-25 |
| 1538588900 | Christine Clark | Physical Therapist | 403 Bryant St, Stroudsburg, PA 18360-2303 | 2014-04-14 |
| 1104256734 | Christine Clark | Registered Nurse | 6 Mount Cook Ave, Farmingville, NY 11738-2023 | 2013-11-18 |
| 1144573783 | Christine A Clark | Licensed Practical Nurse | 11 Evelyn Ct, Manorville, NY 11949-2851 | 2012-10-19 |
| 1033435615 | Christine E. Clark | Pharmacist | 1122 Hwy 61, Winona, MN 55987 | 2010-04-08 |
| 1043495179 | Christine D Clark | Optometrist | 221 Woodland Ave, Bloomington, IL 61701-5659 | 2008-01-08 |
| 1063046068 | Christine M Clark | Social Worker | 38 Southmont Dr, Tuscaloosa, AL 35405-4162 | 2020-02-28 |
| 1326690421 | Christine Marie Clark | Occupational Therapist | 4707 140th Ave N Ste 313, Clearwater, FL 33762-3841 | 2019-07-10 |
| Street Address |
1440 BROADWAY |
| City | NEW YORK |
| State | NY |
| Zip Code | 10018-2301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174188825 | Victoria Abramova | Technician/Technologist | 1440 Broadway, New York, NY 10018-2301 | 2019-05-08 |
| 1235792466 | Cecelia Isabella Truong | Registered Nurse | 1440 Broadway, New York, NY 10018-2301 | 2019-04-14 |
| 1700358363 | Stephanie Jairam | Nurse Practitioner | 1440 Broadway, New York, NY 10018 | 2018-12-20 |
| 1235605734 | Linda Eichling Leonard | Nurse Practitioner | 1440 Broadway, New York, NY 10018-2301 | 2018-10-23 |
| 1508363326 | Madison Emily Olkes | Nurse Practitioner | 1440 Broadway, New York, NY 10018 | 2018-04-09 |
| 1912415498 | Guillermo Butler | Technician/Technologist | 1440 Broadway, New York, NY 10018-2301 | 2018-01-18 |
| 1982111530 | Patricia Pereyra | Technician/Technologist | 1440 Broadway, New York, NY 10018-2301 | 2018-01-04 |
| 1306352117 | Cvs Aoc Services, L.L.C. | Optometrist | 1440 Broadway, New York, NY 10018-2301 | 2017-12-18 |
| 1841718749 | Samreen Kaur | Nurse Practitioner | 1440 Broadway, New York, NY 10018-2301 | 2017-08-31 |
| 1730613589 | Cvs Albany, L.L.C. | Durable Medical Equipment & Medical Supplies | 1440 Broadway, New York, NY 10018-2301 | 2017-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205451325 | Nishi Sanjay Patel | Physical Therapist | 12 West 37th Street, Suite 1202, New York, NY 10018 | 2020-06-15 |
| 1962023168 | Brand Therapy Psychological Services PC | Psychologist | 50 West 39th St, Suite 305, New York, NY 10018 | 2020-04-29 |
| 1215587985 | Nicole Kosanke | Psychologist | 519 8th Avenue, 9th Floor, New York, NY 10018 | 2019-09-16 |
| 1487216073 | Roselaure Luca | Nurse Practitioner | 5 Bryant Park, 5th Floor, New York, NY 10018 | 2019-07-03 |
| 1609439942 | Kamiyama Physical Therapy Pllc | Physical Therapist | 1410 Broadway Concourse Level, New York, NY 10018 | 2019-04-22 |
| 1609339126 | Bryan I. Proano | Social Worker | 550 10th Ave., New York, NY 10018 | 2019-04-11 |
| 1053876318 | Nitzia Mariana Dacosta | Registered Nurse | 505 8th Ave Suite 200, New York, NY 10018 | 2019-01-31 |
| 1871060640 | Jose Jean Paul Miliano | Case Manager/Care Coordinator | 535 Eighth Avenue. 2nd Floor, New York, NY 10018 | 2018-10-30 |
| 1902372220 | Stephanie Lai | Social Worker | 550 Tenth Avenue, New York, NY 10018 | 2018-10-15 |
| 1528554912 | Positive Health Project, Inc. | Counselor | 301 W 37th St Fl 3, New York, NY 10018 | 2018-07-09 |
| Find all providers in zip 10018 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726540 | Alison Anne Avallone | Nurse Practitioner | 425 E 80th St Apt 6d, New York, NY 10075-0613 | 2020-10-08 |
| 1194331199 | Katie Ann Felter | Nurse Practitioner | 144 E 36th St Apt 8b, New York, NY 10016-3517 | 2020-09-16 |
| 1407462492 | Alexandra Moench | Nurse Practitioner | 225 W 23rd St Apt 5s, New York, NY 10011-2300 | 2020-09-16 |
| 1770193237 | Lenka Varekova | Nurse Practitioner | 242 E 5th St Apt 3, New York, NY 10003-8501 | 2020-08-08 |
| 1184234817 | Hyun Gyeong Im | Nurse Practitioner | 435 W 46th St Apt 2re, New York, NY 10036-9085 | 2020-08-06 |
| 1942822507 | Busime Mimy Mudekereza | Nurse Practitioner | 1885 Adam Clayton Powell Jr Blvd Apt 2c, New York, NY 10026-2892 | 2020-05-17 |
| 1366061376 | Christine Go Np In Family Health PC | Nurse Practitioner | 315 Madison Ave Ste 1200, New York, NY 10017-5441 | 2020-04-09 |
| 1427687151 | Ken Chuan Michael Chan | Nurse Practitioner | 110 Madison Ave Apt 10, New York, NY 10016-7486 | 2020-04-04 |
| 1528695004 | Marylee Ann Marre | Nurse Practitioner | 226 E 25th St Apt 3d, New York, NY 10010 | 2020-03-25 |
| 1013541275 | Albina Guzman | Nurse Practitioner | 226 5th Ave Fl 6, New York, NY 10001-7706 | 2020-02-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.