| Doctor Name: | MS. ROSE MARIE CLARKE |
| NPI Number: | 1255368254 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | F336294-1 |
| Business Practice Address: | One Penn Plaza 8th Floor Ny, NY - 10019 |
| Business Phone Number: | 3474430692 |
| Business Fax Number: | 2122166606 |
| Mailing Address: | 1 Penn Plz Fl 8, NEW YORK |
| State: | NY |
| Postal Code: | 101190899 |
| Phone Number: | 6152245438 |
| Fax Number: | 2122166606 |
| NPI Enumeration Date: | 06/26/2006 |
| NPI Last Update Date: | 08/26/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | F336294-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |