Elwyn C Clark
Emergency Physician Critical Care Medicine
70 Dubois St
Newburgh
, New York 12550-4851
Elwyn C Clark
Emergency Physician Critical Care Medicine
70 Dubois St
Newburgh
, New York 12550-4851
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About
Features
Specialties
- Emergency Physician
- Critical Care Medicine
Languages spoken
- English
Location
First Address
- Elwyn C Clark
- 206 Montgomery St
- Newburgh, NY
- Zip : 12550-3639
- Phone :
Second Address
- Elwyn C Clark
- 70 Dubois St
- Newburgh, NY
- Zip : 12550-4851
- Phone : (845) 561-4400
Reviews
FAQs
Where did Elwyn C Clark attend graduate school?
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What type of doctor is Elwyn C Clark
In what state does Elwyn C Clark practice in?
Where is Elwyn C Clark ’s practice located?
What is Elwyn C Clark ’s gender?
Is Elwyn C Clark a sole practitioner?
Is Elwyn C Clark accepting new patients?
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Does Elwyn C Clark offers telemedicine?
What is Elwyn C Clark ’s professional license number?
What is Elwyn C Clark ’s NPI number?
Does Elwyn C Clark have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207P00000X | Emergency Physician | 247501 | NY |
| Y | 207RC0200X | Critical Care Medicine | 247501-1 | NY |
National Provider Identifier
| NPI | 1083875900 |
|---|---|
| Provider Name | Elwyn C Clark |
| First Address | Newburgh, NY 12550-3639 |
| Second Address | Newburgh, NY 12550-4851 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/06/2008 |
| Last Update Date | 19/06/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 247501 | LICENSE (01) | NY |
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.