National Provider Identifier Database

MITZI D CLARK, DVM – NPI #1699100651
Veterinarian

A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery.


Contact Information

MITZI D CLARK, DVM
930 N CAMPUS
ITHACA, NY14853-6007
Phone: 607-253-3060
Fax:
Website:
Specialty Taxonomy Code
* Veterinarian 174M00000X

* Indicates primary specialty

NPI Profile & details for MITZI D CLARK

NPI Number 1699100651
Credentials DVM
Entity Individual
Enumeration date 09/10/2013
Last updated 04/03/2026 - About 2 months ago
Sole proprietor1 No
Identifiers
  • NY License #: 015483-01
Hospital affiliation n/a

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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