| Jennifer Clarke, | |
|
7901 Broadway, Elmhurst, NY 11373-1329 | |
| (718) 334-3915 | |
| Not Available |
| Full Name | Jennifer Clarke |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Child Abuse Pediatrics |
| Location | 7901 Broadway, Elmhurst, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396004073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080C0008X | Pediatrics - Child Abuse Pediatrics | 315543-01 (New York) | Primary |
| 2080C0008X | Pediatrics - Child Abuse Pediatrics | MD453628 (Pennsylvania) | Secondary |
| Entity Name | University Of Pittsburgh Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619935004 PECOS PAC ID: 8729990239 Enrollment ID: O20040308000883 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Clarke, 7901 Broadway, Elmhurst, NY 11373-1329 Ph: () - | Jennifer Clarke, 7901 Broadway, Elmhurst, NY 11373-1329 Ph: (718) 334-3915 |
Carlos Andres Paredes Ponce, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7901 Broadway, Elmhurst, NY 11373 Phone: 718-334-3050 | |
Oleg Sirkis, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7901 Broadway, Room A1-9, Elmhurst, NY 11373 Phone: 718-334-4952 Fax: 718-334-4815 | |
Tina Q Cheng, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 7901 Broadway, Suite A1-18, Elmhurst, NY 11373 Phone: 718-334-1991 Fax: 718-334-1971 | |
Maria Christina Stavroulakis, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7901 Broadway, Elmhurst, NY 11373 Phone: 718-334-2156 | |
Melvin Gertner, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7901 Broadway, Room A1-9, Elmhurst, NY 11373 Phone: 718-334-4952 Fax: 718-334-4815 | |
Azfar Shabbir, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 79-01 Broadway, Room A1-9, Elmhurst, NY 11373 Phone: 718-334-4952 Fax: 718-334-4815 | |
Lucy Lim, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7901 Broadway, Rooma1-9, Elmhurst, NY 11373 Phone: 718-334-4952 Fax: 718-334-4815 |