| Viletha Small-clarke, | |
|
441 E 53rd St, Brooklyn, NY 11203-4505 | |
| (347) 982-3034 | |
| Not Available |
| Full Name | Viletha Small-clarke |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 441 E 53rd St, Brooklyn, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003341850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 340959 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mount Sinai Hospital | New york, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Icahn School Of Medicine At Mount Sinai | 2264691070 | 2587 |
| Entity Name | Icahn School Of Medicine At Mount Sinai |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558627844 PECOS PAC ID: 2264691070 Enrollment ID: O20120724000505 |
| Mailing Address | Practice Location Address |
|---|---|
| Viletha Small-clarke, 441 East 53rd Street, Brooklyn, NY 11203 Ph: (347) 982-3034 | Viletha Small-clarke, 441 E 53rd St, Brooklyn, NY 11203-4505 Ph: (347) 982-3034 |
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