| Clark Medical Care, P.l.l.c. | |
|
400 Webster Ave New Rochelle NY 10801-3206 | |
| (914) 400-1919 | |
| (914) 357-2020 |
| Full Name | Clark Medical Care, P.l.l.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 400 Webster Ave, New Rochelle, New York |
| Authorized Official Name and Position | Charlotte Maria-carlotta Clark (OWNER) |
| Authorized Official Contact | 7183621411 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clark Medical Care, P.l.l.c. 612 Corporate Way Ste 2m Valley Cottage NY 10989-2027 Ph: (718) 362-1411 | Clark Medical Care, P.l.l.c. 400 Webster Ave New Rochelle NY 10801-3206 Ph: (914) 400-1919 |
| NPI Number | 1952935702 |
|---|---|
| Provider Enumeration Date | 03/02/2020 |
| Last Update Date | 03/02/2020 |
| Medicare PECOS PAC ID | 2961862909 |
|---|---|
| Medicare Enrollment ID | O20230721001732 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952935702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Charlotte Maria-carlotta Clark |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891920682 PECOS PAC ID: 2860777968 Enrollment ID: I20170331000531 |
Mount Vernon Medical Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 175 Memorial Hwy, Suite 1-4, New Rochelle, NY 10801 Phone: 914-633-5700 Fax: 914-633-0446 | |
Ira J. Sutton Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 77 Quaker Ridge Rd, Suite 101, New Rochelle, NY 10804 Phone: 914-636-0077 Fax: 914-636-5116 | |
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Montefiore At 150 Lockwood Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Lockwood Ave, New Rochelle, NY 10801 Phone: 914-633-7870 | |
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