DR. MINDY DIANE CLARK (NPI# 1912983321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912983321 |
| Entity Type | Individual |
| Full Name | DR. MINDY DIANE CLARK |
| Other Name | DR. MINDY DIANE CLARK |
| Credential | MD |
| Practice Address |
228 Park Ave S Ste 22156 New York NY 10003-1502 |
| Practice Telephone | 4805224658 |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2018-10-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
291277 | NY | Allopathic & Osteopathic Physicians |
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
575 | WY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2112 Seymour Ave, Cheyenne, WY 820013830 | 3076358299 | 3076356984 |
| 8393 Highway X, Three Lakes, WI 545629279 | 4805224658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063970267 | Mindy M Clark | Advanced Practice Midwife | 100 Peach St Ste 300, Erie, PA 16507-1423 | 2019-03-06 |
| Street Address |
228 PARK AVE S STE 22156 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10003-1502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245841410 | Therapeutic Alliance of New York | Psychologist | Stephanie Zola, 1 Union Square South - Apt. 21d, New York, NY 10003 | 2020-08-12 |
| 1518586999 | Sandra Zajac | Student in an Organized Health Care Education/Training Program | 350 E17th St, 15 Baird Hall R15bh52, New York, NY 10003 | 2020-04-15 |
| 1235767260 | Katharine Krushel | Student in an Organized Health Care Education/Training Program | Mount Sinai Beth Israel, First Avenue At 16th Street, 7th Floor, Bernstein Pavilion Department of Psychiatry, New York, NY 10003 | 2020-03-27 |
| 1942836861 | Suzanne Redlich | Social Worker | 340 East 17th Street, Silver L.s53, New York, NY 10003 | 2020-03-23 |
| 1245864271 | Maureen Kreider | Nurse Practitioner | 4 Irving Place, Con Edison Employee Wellness Center, New York, NY 10003 | 2020-02-28 |
| 1235780321 | Stacy Hibbert | Social Worker | 337 East Street, New York, NY 10003 | 2019-09-20 |
| 1841846862 | Miryam Alkayyali | Student in an Organized Health Care Education/Training Program | Mount Sinai Beth Isreal, First Avenue and 16th Street, New York, NY 10003 | 2019-08-15 |
| 1215580600 | Anna Catherine Kasprzak | Physician Assistant | 9 Nathan D Perlman Place, Bernstein Building, New York, NY 10003 | 2019-07-24 |
| 1154973105 | Bob P Silverstein | Social Worker | 300 Mercer St., #11e, Bob P. Silverstein, Lcsw, New York, NY 10003 | 2019-07-10 |
| 1962064378 | Simon Garceau | Orthopaedic Surgery | 301 E 17th Street - Nyu Langone Orthopedic Hospital, Education Office, New York, NY 10003 | 2019-07-05 |
| Find all providers in zip 10003 | ||||
| Taxonomy Code | 207ND0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Dermatopathology |
| A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730213943 | Sutton Place Dermatology, P.C. | Dermatology | 445 East 58th Street, New York, NY 10022 | 2007-03-16 |
| 1023442720 | Pioneer Dermatology, LLC | Dermatology | 446 W 38th St, New York, NY 10018-2835 | 2013-08-29 |
| 1215290564 | Silvija Pejkovska Gottesman | Dermatology | 145 E 32nd St, New York, NY 10016-6055 | 2012-06-21 |
| 1043547144 | Basil A Horst | Dermatology | 630 W 168th St, Vc15-207, New York, NY 10032-3725 | 2009-11-10 |
| 1023118916 | David N Silvers | Dermatology | 630 W 168th St, Vc15-207, New York, NY 10032-3725 | 2006-09-22 |
| 1801996707 | George W Niedt | Dermatology | 630 W 168th St, Vc15-207, New York, NY 10032-3725 | 2006-09-22 |
| 1679673578 | Sameera Husain | Dermatology | 630 W 168th St, Vc15-207, New York, NY 10032-3725 | 2006-09-22 |
| 1538269444 | Trustees of Columbia University In The City of New York | Dermatology | 630 W 168th St, Vc15-207, New York, NY 10032-3725 | 2006-09-22 |
| 1891785473 | Nyumc Dermatopathology Unit | Dermatology | 530 1st Ave, Hcc 7j, New York, NY 10016-6402 | 2005-10-25 |
| 1487640439 | Shane Meehan | Dermatology | 240 E 38th St, 11th Floor, New York, NY 10016-2708 | 2005-09-26 |
| Find all providers in NEW YORK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.