Doctor Name: | MRS. AMY E. CLARK |
NPI Number: | 1346519196 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NY 016459 |
License Number: | 016459 |
Business Practice Address: | 71 Buffalo St Hornell, NY - 148431507 |
Business Phone Number: | 6073240640 |
Business Fax Number: | 6073241301 |
Mailing Address: | 71 Buffalo St, HORNELL |
State: | NY |
Postal Code: | 148431507 |
Phone Number: | 6073240640 |
Fax Number: | 6073241301 |
NPI Enumeration Date: | 12/23/2011 |
NPI Last Update Date: | 12/23/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251300000X |
License Number: | 016459 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Local Education Agency (LEA) |
Taxonomy Specialization: | |
Taxonomy Definition: | The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 |