IndividualActive
Jennifer Clarke
NPI 1396004073 · Child Abuse Pediatrics Physician · Elmhurst, NY
Provider details
- NPI number
- 1396004073
- Entity type
- Individual
- Primary specialty
- Child Abuse Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- 315543-01 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
7901 Broadway
Elmhurst, NY 11373-1329
Phone: (718) 334-3915
Approximate (ZIP-level) locationGet directions
Mailing address
7901 Broadway
Elmhurst, NY 11373-1329
Registry dates
- Enumerated
- 2012-05-15
- Last updated
- 2022-08-09
- Certified
- 2022-08-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.