Individual
LINDA LEVITA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., M.S.
Contact information
Practice address
301 EXCHANGE BLVD, SUITE LL-1, ROCHESTER, NY 14608-2755
(585) 227-0072
(585) 227-9585
Mailing address
237 RED HICKORY DR, ROCHESTER, NY 14626-4018
(585) 720-9053
(585) 227-9585
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
194302
NY
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
200001097
NC
2083P0901X
Public Health & General Preventive Medicine Physician
194302
NY
2083P0901X
Public Health & General Preventive Medicine Physician
200001097
NC
2083X0100X
Occupational Medicine Physician
Primary
194302
NY
2083X0100X
Occupational Medicine Physician
200001097
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
121959GJ
PREFERRED CARE
NY
01
—
194302
EXCELLUS ROCHESTER REGION
NY
01
—
7413612
AETNA
NY
Enumeration date
06/18/2008
Last updated
05/25/2021
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