Elwyn C Clark in Newburgh - Critical Care Medicine
Elwyn C Clark - NPI 1083875900
Elwyn C Clark is a Critical Care Medicine in Newburgh, New York. Elwyn C Clark practices all healthcare services and medical treatments related to Critical Care Medicine. The NPI Number for Elwyn C Clark is 1083875900. The last update date is 2012-06-19.
Elwyn C Clark's current location address is 70 Dubois St, Newburgh, New York. You can contact this provider via phone number 8455614400. The mailing address for Elwyn C Clark is 70 Dubois St, Newburgh, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elwyn C Clark |
|---|---|
| Address | 70 Dubois St, Newburgh, New York |
| Phone Number | 8455614400 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1083875900 |
|---|---|
| Provider Enumeration Date | 2008-06-23 |
| Last Updated Date | 2012-06-19 |
Provider Mailing Address Detail
| Address | 70 Dubois St |
|---|---|
| City | Newburgh |
| State | New York (NY) |
| Post Code | 125504851 |
| Phone Number | 8455614400 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Critical Care Medicine |
|---|---|
| Taxonomy | 207Rc0200X |
| Licence No | 247501-1 |
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Definition: An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physicia |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 247501 | NY | LICENSE |
Post Comment/ Review Below
What is the Elwyn C Clark's unique identification number?
The Elwyn C Clark has been assigned the NPI (National Provider Identifier) Number 1083875900 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Elwyn C Clark?
The Elwyn C Clark is physically situated at 70 Dubois St, in the city of Newburgh, state of NY, with the postal code 125504851.
What is the area of specialization for Elwyn C Clark, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Elwyn C Clark is Critical Care Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Rc0200X.
On what date did the Elwyn C Clark receive the assignment of its 1083875900 from the Centers for Medicare & Medicaid Services?
The Elwyn C Clark was issued its 1083875900 by the Centers for Medicare & Medicaid Services on 2008-06-23.
As of what date was the information pertaining to Elwyn C Clark, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Elwyn C Clark, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-06-19.