Healthcare Provider Details

I. General information

NPI: 1023947041
Provider Name (Legal Business Name): S&J FAMILY HEALTH NPS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

375 MAIN ST
ISLIP NY
11751-3542
US

IV. Provider business mailing address

8 AVENUE A
HOLBROOK NY
11741-2008
US

V. Phone/Fax

Practice location:
  • Phone: 631-903-3567
  • Fax:
Mailing address:
  • Phone: 631-903-3567
  • Fax: 631-401-7882

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: STEVEN A CLARKE
Title or Position: PRESIDENT
Credential: FNP
Phone: 631-903-3567