Individual
DR. MATTHEW ALAN THEOPHILUS CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3051 36TH ST, ASTORIA, NY 11103-4704
(718) 626-4444
(718) 949-9874
Mailing address
PO BOX 280, GREENVALE, NY 11548-0280
(347) 512-6200
(516) 407-2343
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
209612
NY
Other
Enumeration date
12/19/2006
Last updated
10/02/2025
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