Organization
CLARK MEDICAL CARE, P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE MARIA-CARLOTTA CLARK MD (OWNER)
(718) 362-1411
Entity
Organization
Contact information
Practice address
400 WEBSTER AVE, NEW ROCHELLE, NY 10801-3206
(914) 400-1919
(914) 357-2020
Mailing address
612 CORPORATE WAY STE 2M, VALLEY COTTAGE, NY 10989-2027
(718) 362-1411
(718) 414-1651
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/02/2020
Last updated
03/02/2020
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