Clifford, David S
Clifford, David S is an sole proprietor health care provider with primary practice located at 256 Center Rd , West Seneca NY 14224-1947. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Clifford, David S can be contacted via phone (716) 677-4469.Contact Information
Primary practice address
256 Center Rd
West Seneca NY 14224-1947
Phone: (716) 677-4469
Fax: (716) 677-4470
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 196229-1 | New York |
Profile Details
| NPI number | 1386604775 |
|---|---|
| LBN Legal business name | Clifford, David S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 28th, 2006 |
| Last updated | Mar 7th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386604775 | NPPES |
| New York | Other | 33D0949003 | CLIA |
| New York | Other | G00001 | CLIA |
| New York | MEDICAID | 01597039 | CLIA |
| New York | Other | 196229-1 | CLIA |
| New York | Other | 16-1550816 | CLIA |
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