Provider Demographics
NPI:1871384958
Name:CLARKE-VERDERY, ANYA
Entity type:Individual
Prefix:
First Name:ANYA
Middle Name:
Last Name:CLARKE-VERDERY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711 AMSTERDAM AVE APT 10G
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-6913
Mailing Address - Country:US
Mailing Address - Phone:917-624-3156
Mailing Address - Fax:
Practice Address - Street 1:711 AMSTERDAM AVE APT 10G
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-6913
Practice Address - Country:US
Practice Address - Phone:917-624-3156
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-16
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula