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Individual

DR. JENNIFER A CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3950 E. ROBINSON RD., STE. 205, WEST ALHERST, NY 14228-2044
(716) 691-3400
(716) 691-3404
Mailing address
8205 MAIN ST STE 10, WILLIAMSVILLE, NY 14221-6054
(716) 539-0789
(716) 250-9090

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
243576
NY
208000000X
Pediatrics Physician
2435761
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1962522664
VA
Enumeration date
03/29/2007
Last updated
12/16/2025
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