Individual
CLARK GREGORY OWYANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1305 YORK AVE, NEW YORK, NY 10021-5663
(347) 617-3739
Mailing address
1305 YORK AVE # 96, NEW YORK, NY 10021-5663
(347) 617-3739
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
A155291
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
303571-01
NY
Other
Enumeration date
03/31/2014
Last updated
07/27/2023
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