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Organization
WILLIAM E. CLACK M.D.
Active
Organization
WILLIAM E. CLACK M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM E. CLACK M.D. (OWNER)
(607) 733-3631
Entity
Organization
Contact information
Practice address
447 E WATER ST, ELMIRA, NY 14901-3410
(607) 733-3631
(607) 733-5432
Mailing address
447 E WATER ST, ELMIRA, NY 14901-3410
(607) 733-3631
(607) 733-5432
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
118121
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00359366
—
NY
Enumeration date
06/08/2008
Last updated
06/08/2008
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