Individual
EMILY PAULINE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT,DPT
Contact information
Practice address
555 SAINT JOSEPHS BLVD, ELMIRA, NY 14901-3223
(607) 733-6541
Mailing address
555 SAINT JOSEPHS BLVD, ELMIRA, NY 14901-3223
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
043836
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00363126
—
NY
Enumeration date
11/09/2018
Last updated
11/09/2018
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