Individual
DR. MELINDA B CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1 CLARA BARTON DR, ALBANY, NY 12208-3401
(518) 262-5588
(518) 262-5589
Mailing address
1 CLARA BARTON DR, ALBANY, NY 12208-3401
(518) 262-5588
(518) 262-5589
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
233888
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02688806
—
NY
Enumeration date
11/21/2005
Last updated
12/02/2011
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