| Doctor Name: | MS. STEPHANIE K CLARKE |
| NPI Number: | 1134142607 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, RD, CDN |
| License Number: | 006163 |
| Business Practice Address: | 515 Madison Ave Suite 1906 New York, NY - 100225403 |
| Business Phone Number: | 2127526770 |
| Business Fax Number: | 2127540369 |
| Mailing Address: | 152 Kakeout Rd, KINNELON |
| State: | NJ |
| Postal Code: | 074052541 |
| Phone Number: | 2012598887 |
| Fax Number: | |
| NPI Enumeration Date: | 07/25/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 006163 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |