Individual
ROBERT HENRY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1259 WANTAGH AVE, WANTAGH, NY 11793-2205
(516) 221-7971
(516) 221-8117
Mailing address
1259 WANTAGH AVE, WANTAGH, NY 11793-2205
(516) 221-7971
(516) 221-8117
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
144682
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01565177
—
NY
Enumeration date
06/30/2005
Last updated
06/24/2008
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