Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. WILLIAM EDWARD CLACK, MD
ActiveDR. WILLIAM EDWARD CLACK, MD is a Dermatology healthcare provider located in ELMIRA, New York. NPI 1053490805 is currently active in the NPPES registry. Verify at CMS.
Dermatology · ELMIRA, NY
Registration Details
- NPI Number
- 1053490805
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 3, 2006 (19.821144948777 yrs)
- Last Updated
- Nov 24, 2020
- License
-
1181211 (NY)
Practice Information
- Address
-
200 MADISON AVE STE 2BELMIRA, NY, 149013219Browse NY providers · Browse ZIP 14901
- Phone
- 6077321310
- Fax
- 6077330940
- Primary Specialty
-
Dermatology
207N00000X
Other Dermatology Providers in ELMIRA, NY
| Name | Credential | NPI |
|---|---|---|
| DR. KIMBERLY JANE SILVERS | MD | 1275508533 |
| TANGNEKA MIRACLE NGUYEN | PA-C | 1649155045 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.