Coral C Clarke, RDN is a medicare enrolled "Dietitian, Registered" provider in Snyder, New York. Her current practice location is
4446 Main St Ste 100, Snyder, New York. You can reach out to her office (for appointments etc.) via phone at
(716) 464-2508.
Coral C Clarke is licensed to practice in New York (license number 86065331) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1508376526.
Healthcare Provider's Profile
| Full Name | Coral C Clarke |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 4446 Main St Ste 100, Snyder, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1508376526
- Provider Enumeration Date: 10/04/2017
- Last Update Date: 09/29/2025
Medicare PECOS Information:
- PECOS PAC ID: 8426319229
- Enrollment ID: I20180219000090
Medical Identifiers
Medical identifiers for Coral C Clarke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1508376526 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | 86065331 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Coral C Clarke is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Coral C Clarke, RDN 4446 Main St Ste 100, Snyder, NY 14226-4406 Ph: (716) 464-2508 | Coral C Clarke, RDN 4446 Main St Ste 100, Snyder, NY 14226-4406 Ph: (716) 464-2508 |
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