National Provider Identifier
Crystal Clark
Crystal Clark is listed in the NPPES registry with a primary specialty of Adult Companion in Rochester, NY and a listed phone number of (404) 621-2852.
Profile Overview
- NPI
- 1467014894
- Provider Type
- Individual
- Primary Specialty
- Adult Companion
- Enumeration Date
- July 06, 2019
- Last Updated
- July 06, 2019
Practice Location
- 153 Brambury Dr Apt D
- Rochester, NY 14621-1820
Phone: (404) 621-2852
Mailing Address
- PO Box 64283
- Rochester, NY 14624-6683
Specialties
- Adult Companion (372600000X)
- Chore Provider (372500000X)
- Nurse's Aide (376K00000X)
Full Record
- NPI
- 1467014894
- Entity Type
- Individual
- Last Name
- Clark
- First Name
- Crystal
- Mailing Street Address
- PO Box 64283
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14624-6683
- Mailing Country
- US
- Mailing Phone
- (404) 321-2852
- Practice Street Address
- 153 Brambury Dr Apt D
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-1820
- Practice Country
- US
- Practice Phone
- (404) 621-2852
- Enumeration Date
- July 06, 2019
- Last Updated
- July 06, 2019
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Adult Companion (372600000X), Chore Provider (372500000X), Nurse's Aide (376K00000X)