Individual
DR. EVERTON GEORGE CLARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 ROE AVE, ELMIRA, NY 14905-1629
(607) 737-7770
(607) 271-3686
Mailing address
571 SAINT JOSEPHS BLVD, FL 2, ELMIRA, NY 14901-3230
(607) 271-2050
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
048921
CT
207R00000X
Internal Medicine Physician
Primary
232349
NY
207R00000X
Internal Medicine Physician
MD429147
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03502967
—
NY
05
—
1018327020001
—
PA
Enumeration date
12/13/2006
Last updated
09/11/2017
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