Individual
DONALD CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6565 FOURTH SECTION ROAD, SUITE 500, BROCKPORT, NY 14420
(585) 637-2670
(585) 637-3678
Mailing address
6565 FOURTH SECTION ROAD, SUITE 500, BROCKPORT, NY 14420
(585) 637-2670
(585) 637-3678
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
209374
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000917573006
HEALTH NOW
—
05
—
02120381
—
NY
01
—
0296748
GHI
—
01
—
106154CK
PREFERRED CARE
—
01
—
5685086
AETNA
—
Enumeration date
06/27/2006
Last updated
07/08/2007
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