Lisa M Clark is a Pediatrics in Stony Brook, New York. Lisa M Clark practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Lisa M Clark is 1710146220. The last update date is 2008-06-09.
Lisa M Clark's current location address is University Hosp Medical Center Stony Brook, Stony Brook, New York. You can contact this provider via phone number 6314442967 and fax number 6314446212. The mailing address for Lisa M Clark is University Hosp Medical Center Stony Brook, Stony Brook, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa M Clark |
|---|---|
| Address | University Hosp Medical Center Stony Brook, Stony Brook, New York |
| Phone Number | 6314442967 |
| Fax Number | 6314446212 |
| Sole Proprietor | N |
| Credentials | CPNP-AC |
NPI Number Detail
| NPI Number | 1710146220 |
|---|---|
| Provider Enumeration Date | 2008-06-09 |
| Last Updated Date | 2008-06-09 |
Provider Mailing Address Detail
| Address | University Hosp Medical Center Stony Brook |
|---|---|
| City | Stony Brook |
| State | New York (NY) |
| Post Code | 117948111 |
| Phone Number | 6314442967 |
| Fax Number | 6314446212 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | 380567 |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 380567 | NY | NYS LICIENCE NUMBER |
Post Comment/ Review Below
What is the Lisa M Clark's 1710146220?
The Lisa M Clark's NPI (National Provider Identifier) Number is 1710146220. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Lisa M Clark is physically located?
The Lisa M Clark is physically situated at the following address: University Hosp Medical Center Stony Brook, Stony Brook, NY, 117948111.
What is Lisa M Clark's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Lisa M Clark is Pediatrics, and the corresponding taxonomy classification code for this specialized field is 363Lp0200X.
When did the Lisa M Clark receive its 1710146220?
The Lisa M Clark was issued its 1710146220 on 2008-06-09, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Lisa M Clark last refreshed?
The information related to the Lisa M Clark, including its address, specialty, and other relevant details, was last updated on 2008-06-09.
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