National Provider Identifier
Edward Holton Clarke, M.D.
Edward Holton Clarke, M.D. is listed in the NPPES registry with a primary specialty of Surgery Physician in Elmira, NY and a listed phone number of (607) 733-6698.
Profile Overview
- NPI
- 1407845878
- Provider Type
- Individual
- Primary Specialty
- Surgery Physician
- Enumeration Date
- October 19, 2005
- Last Updated
- August 20, 2012
Practice Location
- 147 W Gray St
- Mark Twain Building
- Elmira, NY 14901-3017
Phone: (607) 733-6698
Mailing Address
- 722 W Water St
- Elmira, NY 14905-2435
Specialties
- Surgery Physician (208600000X)
Full Record
- NPI
- 1407845878
- Entity Type
- Individual
- Last Name
- Clarke
- First Name
- Edward
- Middle Name
- Holton
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 722 W Water St
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14905-2435
- Mailing Country
- US
- Mailing Phone
- (607) 271-2050
- Mailing Fax
- (607) 271-2099
- Practice Street Address
- 147 W Gray St
- Practice Address Line 2
- Mark Twain Building
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14901-3017
- Practice Country
- US
- Practice Phone
- (607) 733-6698
- Practice Fax
- (607) 733-6762
- Enumeration Date
- October 19, 2005
- Last Updated
- August 20, 2012
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Surgery Physician (208600000X)
- Other Identifiers
- 0685823 (NY), 0006323570001 (PA)