Individual
DR. DEVIN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1160 TELLER AVE, BRONX, NY 10456-4291
(718) 293-1500
Mailing address
3438 BELL BLVD STE 301, BAYSIDE, NY 11361-1739
(187) 709-0940
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
P107563
NY
Other
Enumeration date
04/09/2017
Last updated
10/16/2024
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