Harold C Clark MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

128509 Issued in NY

Legal business name

HAROLD C CLARK MD

Practice address

400 Webster Ave
New Rochelle, NY 10801-3206

Phone

(914) 235-8385

Fax

(914) 235-3517

NPI assigned

Jan 10, 2014

Last updated

Jan 10, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Harold Clark, MD

Title

Physician

Phone

(914) 235-8385

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marcia L Fishkin, RN

  • Internal Medicine Physician
  • New Rochelle, NY
  • NPI 1942077201
  NPD (past)
• Stephanie Perruzza, R.D.

  • Registered Dietitian
  • Mount Kisco, NY
  • NPI 1992073043
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1389312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389312000000",
    "number": "1710309745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 WEBSTER AVE",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108013206",
            "telephone_number": "914-235-8385",
            "fax_number": "914-235-3517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WEBSTER AVE",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108013206",
            "telephone_number": "914-235-8385",
            "fax_number": "914-235-3517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAROLD C CLARK MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-10",
        "last_updated": "2014-01-10",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "914-235-8385",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "128509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00494995",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ian Robert Hantman, MD
• Suzanne Marcy Haray
• Carolyn Bethea Harden, L.P.N.
• Andrea Marguerita Harewood, LCSW-R
• Bryan S Harfenist, BA
• Shan Akhtar Haroon
• Jacqueline Harris, DPM
• Samantha Lindsay Harris, CD, CLSC
• Haley Harzynski, PA-C
• Rudabah Hasan, MD

• Internal Medicine Physician in New Rochelle, NY
• Providers in New Rochelle, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.