Bradley C Clark in Bronx - Student In An Organized Health Care Education/training Program

Bradley C Clark - NPI 1316107642

Bradley C Clark is a Student In An Organized Health Care Education/training Program in Bronx, New York. Bradley C Clark practices all healthcare services and medical treatments related to Student In An Organized Health Care Education/training Program. The NPI Number for Bradley C Clark is 1316107642. The last update date is 2018-03-17.

Bradley C Clark's current location address is 3415 Bainbridge Ave, Bronx, New York. You can contact this provider via phone number 7187412183. The mailing address for Bradley C Clark is 3415 Bainbridge Ave, Bronx, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Bradley C Clark
Address 3415 Bainbridge Ave, Bronx, New York
Phone Number 7187412183
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1316107642
Provider Enumeration Date 2008-06-10
Last Updated Date 2018-03-17

Provider Mailing Address Detail

Address 3415 Bainbridge Ave
City Bronx
State New York (NY)
Post Code 104672403
Phone Number 7187412183
Fax Number

Provider's Primary Taxonomy Detail

Speciality Student In An Organized Health Care Education/training Program
Taxonomy 390200000X
Definition:
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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FAQs about Bradley C Clark

What is the Bradley C Clark's unique identification number?

The Bradley C Clark has been assigned the NPI (National Provider Identifier) Number 1316107642 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Bradley C Clark's facilities are situated?

The facilities of Bradley C Clark are physically located at the following address: 3415 Bainbridge Ave, Bronx, NY, 104672403.

What is Bradley C Clark's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Bradley C Clark's specialized field of practice is Student In An Organized Health Care Education/training Program, and the corresponding taxonomy code that categorizes this area of specialization is 390200000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1316107642 to Bradley C Clark?

The Centers for Medicare & Medicaid Services assigned the 1316107642 to Bradley C Clark on 2008-06-10.

When was the information related to Bradley C Clark most recently updated or refreshed?

The details pertaining to the Bradley C Clark, including its address, specialty, and other relevant information, were last updated or refreshed on 2018-03-17.

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