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John Clark
NPI 1194862730 · on the registry since 2007 · sole proprietor
Practice
- Address
- 255 Central Park W
Suite # 3
New York, NY 10024 - Phone
- (212) 769-0666
- Fax
- (212) 799-6193
Registry record
- Primary taxonomy
- Specialist
174400000X
- 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