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Individual

MR. CLARK C. STEIN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MS

Contact information

Practice address
345 3RD ST, SUITE 515, NIAGARA FALLS, NY 14303-1145
(716) 282-2351
(716) 282-0146
Mailing address
525 WASHINGTON ST, MANAGED CARE DEPARTMENT, BUFFALO, NY 14203-1711
(716) 856-4494
(716) 842-1277

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
160743251-49
PRISM
NY
Enumeration date
03/29/2006
Last updated
07/08/2007
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