Individual
DR. GARY KIRVEN CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
VAMC, 79 MIDDLEVILLE RD, NORTHPORT, NY 11768
(631) 261-4400
(631) 266-6015
Mailing address
VAMC NORTHPORT, 79 MIDDLEVILLE RD, NORTHPORT, NY 11768
(631) 261-4400
(631) 266-6015
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
181214-1
NY
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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