Clark, Charlotte M

Clark, Charlotte M is an sole proprietor health care provider with primary practice located at 400 Webster Ave , New Rochelle NY 10801-3206. She recently has 2 registered licenses in different health care specialties including Hospitals / General Acute Care Hospital, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Clark, Charlotte M can be contacted via phone (718) 362-1411.

Contact Information

Primary practice address
400 Webster Ave New Rochelle NY 10801-3206
Phone: (718) 362-1411
Fax: (718) 414-1651
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 286912 New York

Profile Details

NPI number 1891920682
LBN Legal business name Clark, Charlotte M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2009
Last updated Apr 30th, 2018 - about 7 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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