National Provider Identifier

Cynthia Clark

Cynthia Clark is listed in the NPPES registry with a primary specialty of Specialist in Springville, NY and a listed phone number of (716) 592-4174.

NPI 1891123261Springville, NYSpecialist

Profile Overview

NPI
1891123261
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
October 23, 2013
Last Updated
October 23, 2013

Practice Location

  • 12940 Mortons Corners RD
  • Springville, NY 14141-9252

Phone: (716) 592-4174

Mailing Address

  • 12940 Mortons Corners Road
  • Springville, NY 14141

Specialties

  • Specialist (174400000X)
Full Record
NPI
1891123261
Entity Type
Individual
Last Name
Clark
First Name
Cynthia
Mailing Street Address
12940 Mortons Corners Road
Mailing City
Springville
Mailing State
NY
Mailing ZIP Code
14141
Mailing Country
US
Practice Street Address
12940 Mortons Corners RD
Practice City
Springville
Practice State
NY
Practice ZIP Code
14141-9252
Practice Country
US
Practice Phone
(716) 592-4174
Enumeration Date
October 23, 2013
Last Updated
October 23, 2013
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)