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Organization
ROBERT H CLARK MD PLLC
Active
Organization
ROBERT H CLARK MD PLLC
Active
Other names
Robert H. Clark M.D. P.L.L.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT HENRY CLARK MD (OWNER)
(516) 221-7971
Entity
Organization
Contact information
Practice address
1259 WANTAGH AVE, WANTAGH, NY 11793-2205
(516) 221-7971
(516) 221-8117
Mailing address
1259 WANTAGH AVE, WANTAGH, NY 11793-2205
(516) 221-7971
(516) 804-8289
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
144682
NY
Other
Enumeration date
06/06/2006
Last updated
04/14/2014
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