National Provider Identifier
Eric Robert Clark
Eric Robert Clark is listed in the NPPES registry with a primary specialty of Social Worker in Buffalo, NY and a listed phone number of (716) 896-7350.
Profile Overview
- NPI
- 1508370610
- Provider Type
- Individual
- Primary Specialty
- Social Worker
- Enumeration Date
- November 28, 2017
- Last Updated
- November 28, 2017
Practice Location
- 1131 Broadway St
- Buffalo, NY 14212-1501
Phone: (716) 896-7350
Specialties
- Social Worker (104100000X)
Full Record
- NPI
- 1508370610
- Entity Type
- Individual
- Last Name
- Clark
- First Name
- Eric
- Middle Name
- Robert
- Mailing Street Address
- 1131 Broadway St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14212-1501
- Mailing Country
- US
- Mailing Phone
- (716) 896-7350
- Practice Street Address
- 1131 Broadway St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14212-1501
- Practice Country
- US
- Practice Phone
- (716) 896-7350
- Enumeration Date
- November 28, 2017
- Last Updated
- November 28, 2017
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Social Worker (104100000X)