Bradly D Clark MD

NPI 1023098928 - Pathology - 207ZP0101X

NPI Details
NPI 1023098928
Gender Male
Enumeration Date 01/18/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1275 YORK AVE
NEW YORK NY, 10021-6007, US
Phone (646) 227-3813
Fax
Business Location
633 3RD AVE
BOX 3
NEW YORK NY, 10017-6706, US
Phone
Fax
Toxanomy
Taxonomy Code 207ZP0101X
License State New York
License Number 231963
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According to our database, Bradly D Clark MD NPI is 1023098928, taxonomy code is 207ZP0101X and license number is 231963, license state is located at New York. Bradly D Clark MD physically located at 1275 York Ave, New York NY, 10021-6007. NPI Number Bradly D Clark MD has the Individual type.

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1023098928 NPI number is provided on an as is basis without warranty of any kind. 1023098928 is maintained by the National Plan & Provider Enumeration System. The contents of Bradly D Clark MD are for informational purposes only.