Provider Demographics
NPI:1982212395
Name:CLARKE, JANICE ALICIA (IBCLC)
Entity type:Individual
Prefix:MS
First Name:JANICE
Middle Name:ALICIA
Last Name:CLARKE
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:MS
Other - First Name:JANICE
Other - Middle Name:ALICIA
Other - Last Name:NEWMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2285 SEDGWICK AVE APT 201
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10468-5721
Mailing Address - Country:US
Mailing Address - Phone:347-948-5769
Mailing Address - Fax:
Practice Address - Street 1:2285 SEDGWICK AVE APT 201
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10468-5721
Practice Address - Country:US
Practice Address - Phone:347-948-5769
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-21
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN