Theron A Clarke, is a
Massage Therapist based in Laurelton, New York. Theron A Clarke is licensed to practice in New York (license number 0274631) and his current practice location is
13327 231st St, Laurelton, New York. He can be reached at his office (for appointments etc.) via phone at
(646) 725-9403.
NPI number for Theron A Clarke is 1609534718 and his current mailing address is 13327 231st St, Laurelton, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1609534718.
Healthcare Provider's Profile
Full Name | Theron A Clarke |
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Gender | Male |
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Speciality | Massage Therapist |
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Location | 13327 231st St, Laurelton, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1609534718
- Provider Enumeration Date: 12/06/2021
- Last Update Date: 12/06/2021
Medical Identifiers
Medical identifiers for Theron A Clarke such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609534718 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 0274631 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Theron A Clarke is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Theron A Clarke, 13327 231st St, Laurelton, NY 11413-2121 Ph: (646) 725-9403 | Theron A Clarke, 13327 231st St, Laurelton, NY 11413-2121 Ph: (646) 725-9403 |
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