Scott D Clark is a Adult Health in Buffalo, New York. Scott D Clark practices all healthcare services and medical treatments related to Adult Health. The NPI Number for Scott D Clark is 1396719605. The last update date is 2021-12-06.
Scott D Clark's current location address is 462 Grider Street, Buffalo, New York. You can contact this provider via phone number 7168986995. The mailing address for Scott D Clark is 462 Grider Street, Buffalo, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Scott D Clark |
|---|---|
| Address | 462 Grider Street, Buffalo, New York |
| Phone Number | 7168986995 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | A.N.P. |
NPI Number Detail
| NPI Number | 1396719605 |
|---|---|
| Provider Enumeration Date | 2006-02-14 |
| Last Updated Date | 2021-12-06 |
Provider Mailing Address Detail
| Address | 462 Grider Street |
|---|---|
| City | Buffalo |
| State | New York (NY) |
| Post Code | 14215 |
| Phone Number | 7168986995 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Adult Health |
|---|---|
| Taxonomy | 363La2200X |
| Licence No | F3043261 |
|
Definition: An advanced practice registered nurse expert in providing primary and specialty healthcare services to adult patients. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00468024 | MEDICARE RAILROAD | ||
| 9513263 | INDEPENT HEALTH | ||
| 27596001 | UNIVERA | ||
| 528561001 | BLUE CROSS | ||
| 2772021 | NY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Scott D Clark by the Centers for Medicare & Medicaid Services?
The Scott D Clark has been assigned the NPI (National Provider Identifier) 1396719605. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Scott D Clark's facilities are geographically located?
The facilities of Scott D Clark are physically situated at the following location: 462 Grider Street, Buffalo, NY, 14215.
What is Scott D Clark's area of expertise and its corresponding taxonomy classification?
The Scott D Clark's field of specialization is Adult Health, and it falls under the taxonomy code 363La2200X, which categorizes healthcare providers based on their areas of practice.
When did the Scott D Clark receive its 1396719605?
The Scott D Clark was issued its 1396719605 on 2006-02-14, which is the date when the organization was assigned this unique identifier.
When was the Scott D Clark's information last updated?
The Scott D Clark's information was last updated on 2021-12-06.