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Contact Information

KRISTOPHER CLARK, MD
1020 YOUNGS RD STE 100
WILLIAMSVILLE, NY14221-2698
 Phone: 716-961-9900
 Fax: 716-961-9911
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for KRISTOPHER CLARK · (Male)

NPI # 1619339439
Status Active
Credentials MD
Entity Individual
Enumeration date 03/22/2016
Last updated 11/06/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 320529
  • NY Other 320529 NEW YORK STATE OFFICE OF PROFESSIONS
Hospital affiliation(s) Not Available
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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