National Provider Identifier
Rachel Clark
Rachel Clark is listed in the NPPES registry with a primary specialty of Specialist in Lackawanna, NY and a listed phone number of (716) 812-6988.
Profile Overview
- NPI
- 1982965786
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- June 07, 2012
- Last Updated
- October 29, 2014
Practice Location
- 790 Ridge RD
- Lackawanna, NY 14218-1629
Phone: (716) 812-6988
Mailing Address
- 3900 Teachers Ln
- Apt 6
- Orchard Park, NY 14127-2125
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1982965786
- Entity Type
- Individual
- Last Name
- Clark
- First Name
- Rachel
- Mailing Street Address
- 3900 Teachers Ln
- Mailing Address Line 2
- Apt 6
- Mailing City
- Orchard Park
- Mailing State
- NY
- Mailing ZIP Code
- 14127-2125
- Mailing Country
- US
- Practice Street Address
- 790 Ridge RD
- Practice City
- Lackawanna
- Practice State
- NY
- Practice ZIP Code
- 14218-1629
- Practice Country
- US
- Practice Phone
- (716) 812-6988
- Enumeration Date
- June 07, 2012
- Last Updated
- October 29, 2014
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)