Individual
DR. KEVIN CLERKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-4600
(212) 305-7439
Mailing address
630 W 168TH ST # 4, NEW YORK, NY 10032-3725
(212) 305-2913
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
272606
NY
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
25MA11822900
NJ
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
272606
NY
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
63763
CT
207RC0000X
Cardiovascular Disease Physician
272606
NY
207RC0000X
Cardiovascular Disease Physician
63763
CT
Other
Enumeration date
05/18/2011
Last updated
03/12/2024
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