SearchNew York1041C0700X

Gary Clark, LSCW

NPI 1174649172 · on the registry since 2007 · sole proprietor

Practice

Address
502 W 143rd St
Suite 3a
New York, NY 10031
Phone
(212) 862-0693

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York