Clarkson, Earl I

Clarkson, Earl I is an individual health care provider with primary practice located at 760 Broadway Woodhull Medical & Mental Health Center, Brooklyn NY 11206. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Clarkson, Earl I can be contacted via phone (718) 963-8000.

Contact Information

Primary practice address
760 Broadway Woodhull Medical & Mental Health Center Brooklyn NY 11206
Phone: (718) 963-8000
Fax: (718) 250-6431
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 036255 New York

Profile Details

NPI number 1659397578
LBN Legal business name Clarkson, Earl I
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Sep 17th, 2014 - about 10 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 1659397578 NPPES
New York MEDICAID 00759251
New York Other 4572181
New York Other P417983

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