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Contact Information

ELWYN C CLARK, DO
70 DUBOIS ST
NEWBURGH, NY12550-4851
 Phone: 845-561-4400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for ELWYN C CLARK · (Male)

NPI Number 1083875900
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/23/2008
Last updated 06/19/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 247501
  • NY License # 247501-1
  • NY Other 247501 LICENSE
Hospital affiliation(s)
  • ERLANGER MEDICAL CENTER - (Acute Care)
    975 E 3RD ST
    CHATTANOOGA, TN 37403
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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