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Contact Information

MITZI D CLARK, DVM
930 N CAMPUS
ITHACA, NY14853-6007
 Phone: 607-253-3060
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Veterinarian

174M00000X
Indicates primary specialty

NPI Profile & details for MITZI D CLARK · (Female)

NPI # 1699100651
Status Active
Credentials DVM
Entity Individual
Enumeration date 09/10/2013
Last updated 04/03/2026 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • NY License # 015483-01
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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