Emily Pauline Clark, PT,DPT is a
Physical Medicine & Rehabilitation physician based in Elmira, New York. Emily Pauline Clark is licensed to practice in New York (license number 043836) and her current practice location is 555 Saint Josephs Blvd, Elmira, New York. She can be reached at her office (for appointments etc.) via phone at
(607) 733-6541.
NPI number for Emily Pauline Clark is 1245708056 and her current mailing address is 555 Saint Josephs Blvd, Elmira, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245708056.
Physician's Profile
| Full Name | Emily Pauline Clark |
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| Gender | Female |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 555 Saint Josephs Blvd, Elmira, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1245708056
- Provider Enumeration Date: 11/09/2018
- Last Update Date: 11/09/2018
Medical Identifiers
Medical identifiers for Emily Pauline Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245708056 | NPI | - | NPPES |
| 00363126 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | 043836 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Emily Pauline Clark is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Emily Pauline Clark, PT,DPT
555 Saint Josephs Blvd,
Elmira, NY 14901-3223
Ph: () - | Emily Pauline Clark, PT,DPT
555 Saint Josephs Blvd,
Elmira, NY 14901-3223
Ph: (607) 733-6541 |
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