Dr. Clark Charles Smith
Physical Medicine & Rehabilitation Doctor Pain Medicine
180 Fort Washington Ave Suite 199
New York
, New York 10032-3722
Dr. Clark Charles Smith
Physical Medicine & Rehabilitation Doctor Pain Medicine
180 Fort Washington Ave Suite 199
New York
, New York 10032-3722
(212) 342-1470
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About
Features
Specialties
- Physical Medicine & Rehabilitation Doctor
- Pain Medicine
Languages spoken
- English
Location
First Address
- Dr. Clark Charles Smith
- 180 Fort Washington Ave Suite 199
- New York, NY
- Zip : 10032-3722
- Fax : (212) 342-1470
- Phone : (212) 305-3535
Second Address
- Dr. Clark Charles Smith
- 180 Fort Washington Ave Suite 199
- New York, NY
- Zip : 10032-3722
- Fax : (212) 342-1470
- Phone : (212) 305-3535
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 260227 | NY |
| N | 2081P2900X | Pain Medicine | 260227 | NY |
National Provider Identifier
| NPI | 1043494800 |
|---|---|
| Provider Name | Dr. Clark Charles Smith |
| First Address | New York, NY 10032-3722 |
| Second Address | New York, NY 10032-3722 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/12/2007 |
| Last Update Date | 24/07/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.