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Contact Information

ROBERT H CLARK, MD
1259 WANTAGH AVE
WANTAGH, NY11793-2205
 Phone: 516-221-7971
 Fax: 516-221-8117
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Infectious Disease

207RI0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ROBERT H CLARK · (Male)

NPI Number 1932106408
Status Active
Credentials MD
Entity Individual
Enumeration date 06/30/2005
Last updated 06/24/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 144682
  • NY Medicaid 01565177
Hospital affiliation(s)
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
  • SOUTH NASSAU COMMUNITIES HOSPITAL - (Acute Care)
    ONE HEALTHY WAY
    OCEANSIDE, NY 11572
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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