Individual
DR. KRISTEN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
109 W 27TH ST RM 5S, NEW YORK, NY 10001-6208
(917) 634-5311
Mailing address
109 W 27TH ST RM 5S, NEW YORK, NY 10001-6208
(917) 634-5311
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
01098925A
IN
2084P0800X
Psychiatry Physician
341156
NY
2084P0800X
Psychiatry Physician
Primary
MA09430200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0429694
—
NJ
Enumeration date
03/17/2011
Last updated
01/26/2026
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