National Provider Identifier
Tony L Clark
Tony L Clark is listed in the NPPES registry with a primary specialty of Integrative Medicine Physician in Rochester, NY and a listed phone number of (315) 480-4921.
Profile Overview
- NPI
- 1700611084
- Provider Type
- Individual
- Primary Specialty
- Integrative Medicine Physician
- Enumeration Date
- September 05, 2024
- Last Updated
- September 05, 2024
Practice Location
- 2509 Browncroft Blvd Ste 209
- Rochester, NY 14625-1545
Phone: (315) 480-4921
Specialties
- Integrative Medicine Physician (202D00000X)
Full Record
- NPI
- 1700611084
- Entity Type
- Individual
- Last Name
- Clark
- First Name
- Tony
- Middle Name
- L
- Mailing Street Address
- 2509 Browncroft Blvd Ste 209
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14625-1545
- Mailing Country
- US
- Mailing Phone
- (315) 480-4921
- Practice Street Address
- 2509 Browncroft Blvd Ste 209
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14625-1545
- Practice Country
- US
- Practice Phone
- (315) 480-4921
- Enumeration Date
- September 05, 2024
- Last Updated
- September 05, 2024
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- September 05, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Integrative Medicine Physician (202D00000X)