Individual
TONY L CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2509 BROWNCROFT BLVD STE 209, ROCHESTER, NY 14625-1545
(315) 480-4921
Mailing address
2509 BROWNCROFT BLVD STE 209, ROCHESTER, NY 14625-1545
(315) 480-4921
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
Primary
0
NY
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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