National Provider Identifier

Coral C Clarke, RDN

Coral C Clarke, RDN is listed in the NPPES registry with a primary specialty of Registered Dietitian in Snyder, NY and a listed phone number of (716) 464-2508.

NPI 1508376526Snyder, NYRegistered Dietitian

Profile Overview

NPI
1508376526
Provider Type
Individual
Primary Specialty
Registered Dietitian
Enumeration Date
October 04, 2017
Last Updated
September 29, 2025

Practice Location

  • 4446 Main St Ste 100
  • Snyder, NY 14226-4406

Phone: (716) 464-2508

Specialties

  • Registered Dietitian (133V00000X)
Full Record
NPI
1508376526
Entity Type
Individual
Last Name
Clarke
First Name
Coral
Middle Name
C
Credential
RDN
Mailing Street Address
4446 Main St Ste 100
Mailing City
Snyder
Mailing State
NY
Mailing ZIP Code
14226-4406
Mailing Country
US
Mailing Phone
(716) 464-2508
Mailing Fax
(716) 304-2508
Practice Street Address
4446 Main St Ste 100
Practice City
Snyder
Practice State
NY
Practice ZIP Code
14226-4406
Practice Country
US
Practice Phone
(716) 464-2508
Practice Fax
(716) 304-2508
Enumeration Date
October 04, 2017
Last Updated
September 29, 2025
Sex
Female
Sole Proprietor
Yes
Certification Date
September 29, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Dietitian (133V00000X)