Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 200516 | NY |
NPI | 1013196187 |
---|---|
Provider Name | Dr. Joy Arlene Clark |
First Address | New York, NY 10016-2557 |
Second Address | New York, NY 10016-2557 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2007 |
Last Update Date | 25/10/2007 |