Individual
ELIZABETH MORRIGAN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3400 BAINBRIDGE AVE, BRONX, NY 10467-2404
(866) 633-8255
(718) 655-9672
Mailing address
115 E 87TH ST, APT. 15E, NEW YORK, NY 10128-1136
(866) 633-8255
(718) 655-9672
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
171055
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01019956
—
NY
Enumeration date
11/01/2006
Last updated
11/19/2013
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