Individual
DANA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 MARCUS AVE STE M04, NEW HYDE PARK, NY 11042-1034
(267) 229-1101
Mailing address
1111 MARCUS AVE STE M04, NEW HYDE PARK, NY 11042-1034
(267) 229-1101
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
324511-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2019
Last updated
09/13/2023
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