Rachel Clark
NPI #1982965786 in Lackawanna, New York
Provider Information
- NPI Number
- 1982965786
- Entity Type
- Individual
- Name
- Rachel Clark
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist
- Enumeration Date
- Jun 7, 2012
- Last Updated
- Oct 29, 2014
Practice Location
- Address
- 790 RIDGE RD
- City
- Lackawanna
- State
- New York
- ZIP Code
- 14218-1629
- Phone
- (716) 812-6988
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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