Smith, Clark Charles

Smith, Clark Charles is an individual health care provider with primary practice located at 180 Fort Washington Ave Suite 199, New York NY 10032-3722. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Smith, Clark Charles can be contacted via phone (212) 305-3535.

Contact Information

Primary practice address
180 Fort Washington Ave Suite 199 New York NY 10032-3722
Phone: (212) 305-3535
Fax: (212) 342-1470
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 260227 New York
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 260227 New York

Profile Details

NPI number 1043494800
LBN Legal business name Smith, Clark Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2007
Last updated Jul 24th, 2014 - about 11 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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