Clark, Robert Henry

Clark, Robert Henry is an individual health care provider with primary practice located at 1259 Wantagh Ave , Wantagh NY 11793-2205. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Clark, Robert Henry can be contacted via phone (516) 221-7971.

Contact Information

Primary practice address
1259 Wantagh Ave Wantagh NY 11793-2205
Phone: (516) 221-7971
Fax: (516) 221-8117
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 144682 New York

Profile Details

NPI number 1932106408
LBN Legal business name Clark, Robert Henry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Jun 24th, 2008 - about 17 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 1932106408 NPPES
New York MEDICAID 01565177

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