National Provider Identifier
Kristopher Clark, M.D.
Kristopher Clark, M.D. is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician in Williamsville, NY and a listed phone number of (716) 961-9900.
Profile Overview
- NPI
- 1619339439
- Provider Type
- Individual
- Primary Specialty
- Pulmonary Disease Physician
- Enumeration Date
- March 22, 2016
- Last Updated
- November 06, 2023
Practice Location
- 1020 Youngs RD Ste 100
- Williamsville, NY 14221-2698
Phone: (716) 961-9900
Specialties
- Pulmonary Disease Physician (207RP1001X)
Full Record
- NPI
- 1619339439
- Entity Type
- Individual
- Last Name
- Clark
- First Name
- Kristopher
- Credential
- M.D.
- Mailing Street Address
- 1020 Youngs RD Ste 100
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-2698
- Mailing Country
- US
- Mailing Phone
- (716) 961-9900
- Mailing Fax
- (716) 961-9911
- Practice Street Address
- 1020 Youngs RD Ste 100
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-2698
- Practice Country
- US
- Practice Phone
- (716) 961-9900
- Practice Fax
- (716) 961-9911
- Enumeration Date
- March 22, 2016
- Last Updated
- November 06, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- November 06, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pulmonary Disease Physician (207RP1001X)
- Other Identifiers
- 320529 (NY, New York State Office Of Professions)