Locke, Clyde
Locke, Clyde is an sole proprietor health care provider with primary practice located at 3804 28Th Avenue , Astoria NY 11103-3313. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Locke, Clyde can be contacted via phone (718) 278-3800.Contact Information
Primary practice address
3804 28Th Avenue
Astoria NY 11103-3313
Phone: (718) 278-3800
Fax: (718) 278-3318
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 093260 | New York |
Profile Details
| NPI number | 1497897540 |
|---|---|
| LBN Legal business name | Locke, Clyde |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 13th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1497897540 | NPPES |
| New York | MEDICAID | 01425727 |
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