Search › New York › 106H00000X
Douglass Clark, M.DIV
NPI 1386470789 · on the registry since 2024 · sole proprietor
Practice
- Address
- 1559 County Route 5
Canaan, NY 12029 - Phone
- (917) 968-2493
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-09-11
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