Provider Demographics
NPI:1316433634
Name:CLARKE'S SUPPLIES LLC
Entity type:Organization
Organization Name:CLARKE'S SUPPLIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:CLARKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-233-2643
Mailing Address - Street 1:325 E 25TH ST APT 101
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-2525
Mailing Address - Country:US
Mailing Address - Phone:347-233-2643
Mailing Address - Fax:888-731-6363
Practice Address - Street 1:325 E 25TH ST APT 101
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-2525
Practice Address - Country:US
Practice Address - Phone:347-233-2643
Practice Address - Fax:888-731-6363
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-10
Last Update Date:2018-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies