Individual
DR. LOREN ANN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
26901 76TH AVE, NEW HYDE PARK, NY 11040-1433
(718) 470-3206
Mailing address
26901 76TH AVE, NEW HYDE PARK, NY 11040-1433
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
339563
NY
Other
Enumeration date
04/01/2022
Last updated
09/08/2025
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