Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELWYN C CLARK, DO
ActiveELWYN C CLARK, DO is a Critical Care Medicine healthcare provider located in NEWBURGH, New York. NPI 1083875900 is currently active in the NPPES registry. Verify at CMS.
Critical Care Medicine · NEWBURGH, NY
Registration Details
- NPI Number
- 1083875900
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 23, 2008 (18.183430437327 yrs)
- Last Updated
- Jun 19, 2012
- Licenses
-
247501 (NY)247501-1 (NY)
Practice Information
- Address
-
70 DUBOIS STNEWBURGH, NY, 125504851Browse NY providers · Browse ZIP 12550
- Phone
- 8455614400
- Primary Specialty
-
Critical Care Medicine
207RC0200X
- Additional Specialty
- Critical Care Medicine
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.