National Provider Identifier
Jennifer A Clark, MD
Jennifer A Clark, MD is listed in the NPPES registry with a primary specialty of Pediatrics Physician in West Alherst, NY and a listed phone number of (716) 691-3400.
Profile Overview
- NPI
- 1962522664
- Provider Type
- Individual
- Primary Specialty
- Pediatrics Physician
- Enumeration Date
- March 29, 2007
- Last Updated
- December 16, 2025
Practice Location
- 3950 E. Robinson RD.
- Ste. 205
- West Alherst, NY 14228-2044
Phone: (716) 691-3400
Mailing Address
- 8205 Main St Ste 10
- Williamsville, NY 14221-6054
Specialties
- Pediatrics Physician (208000000X)
- Pediatrics Physician (208000000X)
Full Record
- NPI
- 1962522664
- Entity Type
- Individual
- Last Name
- Clark
- First Name
- Jennifer
- Middle Name
- A
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 8205 Main St Ste 10
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-6054
- Mailing Country
- US
- Mailing Phone
- (716) 539-0789
- Mailing Fax
- (716) 250-9090
- Practice Street Address
- 3950 E. Robinson RD.
- Practice Address Line 2
- Ste. 205
- Practice City
- West Alherst
- Practice State
- NY
- Practice ZIP Code
- 14228-2044
- Practice Country
- US
- Practice Phone
- (716) 691-3400
- Practice Fax
- (716) 691-3404
- Enumeration Date
- March 29, 2007
- Last Updated
- December 16, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 16, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatrics Physician (208000000X), Pediatrics Physician (208000000X)
- Other Identifiers
- 1962522664 (VA)