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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. CHARLES DURRELL CLAYTON, DPM

Active Sole Proprietor

DR. CHARLES DURRELL CLAYTON, DPM is a Podiatrist healthcare provider located in MASTIC, New York. NPI 1336205103 is currently active in the NPPES registry. Verify at CMS.

Podiatrist · MASTIC, NY

Registration Details

NPI Number
1336205103
Provider Type
Individual
Gender
Male
NPI Issued
Dec 28, 2006 (19.63396501452 yrs)
Last Updated
Jul 8, 2007
License
N004021 (NY)
Sole Proprietor
Yes

Practice Information

Address
152 N TITMUS DR
MASTIC, NY, 119501818
Browse NY providers · Browse ZIP 11950
Phone
6318716945
Primary Specialty
Podiatrist
213E00000X
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.