National Provider Identifier

Linda L. Clark, M.D., M.S., P.C.

Linda L. Clark, M.D., M.S., P.C. is listed in the NPPES registry with a primary specialty of Occupational Medicine Physician in Rochester, NY and a listed phone number of (585) 227-0072.

NPI 1356409676Rochester, NYOccupational Medicine Physician

Profile Overview

NPI
1356409676
Provider Type
Organization
Primary Specialty
Occupational Medicine Physician
Enumeration Date
December 06, 2006
Last Updated
June 06, 2008

Practice Location

  • 301 Exchange Blvd
  • Suite Ll-1
  • Rochester, NY 14608-2755

Phone: (585) 227-0072

Specialties

  • Occupational Medicine Physician (2083X0100X)
  • Occupational Medicine Physician (2083X0100X)
  • Public Health & General Preventive Medicine Physician (2083P0901X)
Full Record
NPI
1356409676
Entity Type
Organization
EIN
<UNAVAIL>
Organization Name
Linda L. Clark, M.D., M.S., P.C.
Other Organization Name
<Unavail>
Provider Other Organization Name Type Code
6
Mailing Street Address
301 Exchange Blvd
Mailing Address Line 2
Suite Ll-1
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14608-2755
Mailing Country
US
Mailing Phone
(585) 227-0072
Mailing Fax
(585) 227-9585
Practice Street Address
301 Exchange Blvd
Practice Address Line 2
Suite Ll-1
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14608-2755
Practice Country
US
Practice Phone
(585) 227-0072
Practice Fax
(585) 227-9585
Enumeration Date
December 06, 2006
Last Updated
June 06, 2008
Authorized Official Last Name
Clark
Authorized Official First Name
Linda
Authorized Official Middle Name
Levita
Authorized Official Title
President
Authorized Official Phone
(585) 227-0072
Organization Subpart
No
Authorized Official Name Prefix Text
Dr.
Authorized Official Credential Text
M.D., M.S.
Taxonomy Group 1
193200000X Multi-Specialty Group
Taxonomy Group 2
193200000X Multi-Specialty Group
Taxonomy Group 3
193200000X Multi-Specialty Group
Taxonomy Group 4
193200000X Multi-Specialty Group
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Medicine Physician (2083X0100X), Occupational Medicine Physician (2083X0100X), Public Health & General Preventive Medicine Physician (2083P0901X)
Other Identifiers
121959GJ (NY, Preferred Care), P010194302 (NY, Excellus Rochester Region), 7413612 (NY, Aetna)