Individual
DR. DAVID S CLIFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
256 CENTER RD, WEST SENECA, NY 14224-1947
(716) 677-4469
(716) 677-4470
Mailing address
256 CENTER RD, WEST SENECA, NY 14224-1947
(716) 677-4469
(716) 677-4470
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
196229-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01597039
—
NY
01
—
16-1550816
TAX ID
NY
01
—
196229-1
LICENSE
NY
01
—
33D0949003
CLIA
NY
01
—
G00001
UPIN
—
Enumeration date
03/28/2006
Last updated
03/07/2023
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