Clark, Catherine

Clark, Catherine is an individual health care provider with primary practice located at 97 Amity St Obgyn Associates At Lich, Brooklyn NY 11201. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Clark, Catherine can be contacted via phone (718) 790-1394.

Contact Information

Primary practice address
97 Amity St Obgyn Associates At Lich Brooklyn NY 11201
Phone: (718) 790-1394
Fax: (718) 790-4987
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X F000506 New York

Profile Details

NPI number 1518901297
LBN Legal business name Clark, Catherine
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518901297 NPPES
New York MEDICAID 02230564

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