W Bruce Clark Md Pc

LBN: W Bruce Clark Md Pc
W Bruce Clark Md Pc is an health care organization with primary practice located at 585 New Loudon Rd , Latham NY 12110-5701. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. W Bruce Clark Md Pc can be contacted via phone (518) 783-1472, or through Mcnamara, Denise via phone (518) 783-1472.

Contact Information

Primary practice address
585 New Loudon Rd Latham NY 12110-5701
Phone: (518) 783-1472
Fax: (518) 783-1605
Website:
Map and Directions
Authorized official contact:
Name: Mcnamara, Denise
Phone: (518) 783-1472

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X New York

Profile Details

NPI number 1396959110
LBN Legal business name W Bruce Clark Md Pc
DBA Doing business as
Authorized official Mcnamara, Denise
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2007
Last updated Feb 26th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1396959110 NPPES
New York MEDICAID 00798590
New York MEDICAID 01698282
New York MEDICAID 01866453
New York MEDICAID 02425116

Popular Providers