National Provider Identifier

Catherine Clark

Catherine Clark is listed in the NPPES registry with a primary specialty of Specialist in Tonawanda, NY and a listed phone number of (716) 332-0454.

NPI 1194073676Tonawanda, NYSpecialist

Source: public NPPES record, last updated August 15, 2012. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1194073676
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
August 15, 2012
Last Updated
August 15, 2012

Practice Location

  • 205 Yorkshire RD
  • Tonawanda, NY 14150-8350

Phone: (716) 332-0454

Specialties

  • Specialist (174400000X)

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Biography

The NPPES record for Catherine Clark lists Specialist as the primary taxonomy and Tonawanda, NY as the practice location.

Full Record
NPI
1194073676
Entity Type
Individual
Last Name
Clark
First Name
Catherine
Provider Other Last Name
Reilly
Provider Other First Name
Catherine
Provider Other Last Name Type Code
1
Mailing Street Address
205 Yorkshire RD
Mailing City
Tonawanda
Mailing State
NY
Mailing ZIP Code
14150-8350
Mailing Country
US
Mailing Phone
(716) 332-0454
Practice Street Address
205 Yorkshire RD
Practice City
Tonawanda
Practice State
NY
Practice ZIP Code
14150-8350
Practice Country
US
Practice Phone
(716) 332-0454
Enumeration Date
August 15, 2012
Last Updated
August 15, 2012
Sex
Female
Sole Proprietor
No
Taxonomies
Specialist (174400000X)