William Edward Clack MD

NPI 1053490805 - Dermatology - 207N00000X

NPI Details
NPI 1053490805
Gender Male
Enumeration Date 11/03/2006
Last Updated 02/02/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
447 EAST WATER STREET
ELMIRA NY, 14901, US
Phone (607) 733-3631
Fax (607) 733-5432
Business Location
447 EAST WATER STREET
ELMIRA NY, 14901, US
Phone (607) 733-3631
Fax (607) 733-5432
Toxanomy
Taxonomy Code 207N00000X
License State New York
License Number 1181211
Remove 1053490805 NPI Number
 

According to our database, Dr. William Edward Clack MD NPI is 1053490805, taxonomy code is 207N00000X and license number is 1181211, license state is located at New York. William Edward Clack MD physically located at 447 East Water Street, Elmira NY, 14901. NPI Number William Edward Clack MD has the Individual type.

Sponsored links

1053490805 NPI number is provided on an as is basis without warranty of any kind. 1053490805 is maintained by the National Plan & Provider Enumeration System. The contents of William Edward Clack MD are for informational purposes only.