IndividualActive
Dexter Clarke, MSW
NPI 1962779793 · Emotionally Disturbed Childrens' Residential Treatment Facility · Bronx, NY
Provider details
- NPI number
- 1962779793
- Entity type
- Individual
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Credential
- MSW
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Residential Treatment Facilities
Practice location
5050 Iselin Ave
Bronx, NY 10471-2915
Phone: (718) 549-6700
Fax: (718) 796-4614
Approximate (ZIP-level) locationGet directions
Mailing address
4300 Bruner Ave
Bronx, NY 10466-1806
Registry dates
- Enumerated
- 2011-11-22
- Last updated
- 2011-11-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.