Charlotte M Clark, MD
Internal Medicine in New Rochelle, New York
1891920682- Practice location
- 400 Webster Ave, New Rochelle, NY 10801-3206
- Phone
- 718-362-1411
- Fax
- 718-414-1651
- Last updated
- April 30, 2018
Charlotte M Clark is an Internal Medicine based in New Rochelle, NY. Charlotte M Clark practices in New Rochelle, NY and has the professional credentials of MD. The NPI Number for Charlotte M Clark is 1891920682 and holds a License No. 286912 (NY). The current practice location address for Charlotte M Clark is 400 Webster Ave, New Rochelle, NY 10801-3206 and can be reached out via phone at 718-362-1411 and via fax at 718-414-1651.
Provider Profile Details
- NPI Number
- 1891920682
- Provider Name
- Charlotte M Clark
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 400 Webster Ave, New Rochelle, NY 10801-3206
- Phone Number
- 718-362-1411
- Fax Number
- 718-414-1651
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- Yes
- Other Names
- Charlotte Maria-Carlotta Clark, MD (Professional Name)
- Provider Enumeration Date
- May 21, 2009
- Last Update Date
- April 30, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 400 Webster Ave
New Rochelle, NY 10801-3206 - City
- New Rochelle
- State
- New York
- Zip
- 10801-3206
- Phone Number
- 718-362-1411
- Fax Number
- 718-414-1651
Provider Business Mailing Address Details
- Address
- 228 E Route 59 # 408
Nanuet, NY 10954-2905 - City
- Nanuet
- State
- NY
- Zip
- 10954-2905
- Phone Number
- 718-362-1411
- Fax Number
- 718-414-1651
License Information
- Taxonomy (1)
- General Acute Care Hospital · 282N00000X
- License Number (2)
- 286912
- License State (2)
- NY
- Taxonomy (2)
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Charlotte M Clark, MD?
The NPI number of Charlotte M Clark, MD is 1891920682. It was assigned on May 21, 2009 and is currently active in the NPPES registry.
What is the specialty of Charlotte M Clark, MD?
Charlotte M Clark, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NY under license number 286912.
Where does Charlotte M Clark, MD practice?
The practice location is 400 Webster Ave, New Rochelle, NY 10801-3206. The office can be reached at 718-362-1411 (phone) or 718-414-1651 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1891920682 directly on the NPPES registry website.