person
Scott D Clark, ANP
Adult Health Nurse Practitioner in Buffalo, New York
NPI 1396719605

Scott D Clark is an Adult Health Nurse Practitioner based in Buffalo, NY and is specialized in Adult Health. Scott D Clark practices in Buffalo, NY and has the professional credentials of ANP. The NPI Number for Scott D Clark is 1396719605 and holds a License No. F3043261 (New York).

The current practice location address for Scott D Clark is 462 Grider St, Buffalo, NY and can be reached out via phone at 716-898-6995.

Location: 462 Grider St, Buffalo, NY, 14215
person
Provider Profile Details
NPI Number
1396719605
Provider Name
Scott D Clark
Credential
ANP
Provider Entity Type
Individual
Gender
Male
Address
462 Grider St, Buffalo, NY, 14215
Phone Number
716-898-6995
Fax Number
Provider Enumeration Date
02/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00468024 01 MEDICARE RAILROAD
9513263 01 INDEPENT HEALTH
00027596001 01 UNIVERA
000528561001 01 BLUE CROSS
02772021 05 NY
institution
Provider Business Practice Location Address Details
Address
462 Grider St
City
State
Zip
14215-3021
Phone Number
716-898-6995
Fax Number
person
Provider Business Mailing Address Details
Address
462 Grider St
City
State
Zip
14215-3021
Phone Number
716-898-6995
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
F3043261 (New York)
Definition
Definition to come...
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