Individual
MS. SHERYL DIANE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
109 E 61 ST, NEW YORK, NY 10021
(212) 750-2905
(212) 888-0930
Mailing address
109 E 61 ST, NEW YORK, NY 10021
(212) 750-2905
(212) 888-0930
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
176093
NY
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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