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Individual
DR. KILDARE CLARKE
Active
Individual
DR. KILDARE CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD JD
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
132990
NY
207Q00000X
Family Medicine Physician
132990
NY
2083X0100X
Occupational Medicine Physician
132990
NY
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
132990
NY
2084F0202X
Forensic Psychiatry Physician
132990
NY
2084P0015X
Psychosomatic Medicine Physician
132990
NY
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
132990
NY
251B00000X
Case Management Agency
132990
NY
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
132990
NY
282N00000X
General Acute Care Hospital
132990
NY
305S00000X
Point of Service
132990
NY
Other
Enumeration date
08/27/2010
Last updated
08/27/2010
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