Clark, Elwyn C

Clark, Elwyn C is an individual health care provider with primary practice located at 70 Dubois St , Newburgh NY 12550-4851. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Clark, Elwyn C can be contacted via phone (845) 561-4400.

Contact Information

Primary practice address
70 Dubois St Newburgh NY 12550-4851
Phone: (845) 561-4400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 247501 New York
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 247501-1 New York

Profile Details

NPI number 1083875900
LBN Legal business name Clark, Elwyn C
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2008
Last updated Jun 19th, 2012 - about 13 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 1083875900 NPPES
New York Other 247501 LICENSE

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