Gregory J Clark (NPI# 1558449843, PAC ID# 5597848820) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1558449843 |
| PAC ID by PECOS | 5597848820 |
| Professional Enrollment ID | I20080211000251 |
| Full Name | Gregory J Clark |
| Organization Legal Name | MILESTONE PSYCHIATRIC AND PSYCHOLOGICAL SERVICES P C |
| Address |
15 Pleasant St Hornell NY 14843-1829 |
| Phone Number | 6073249240 |
| Gender | M |
| Medical School | STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 3870406002 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 15 Pleasant St, Hornell, NY 14843-1829 | 6073249240 | MILESTONE PSYCHIATRIC AND PSYCHOLOGICAL SERVICES P C |
| Organization Legal Name | MILESTONE PSYCHIATRIC AND PSYCHOLOGICAL SERVICES P C |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrea R Burch | Clinical Psychologist | Milestone Psychiatric and Psychological Services P C | 15 Pleasant St, Hornell, NY 14843-1829 |
| Lynn O Connell | Clinical Psychologist | Milestone Psychiatric and Psychological Services P C | 15 Pleasant St, Hornell, NY 14843-1829 |
| John D Cerio | Clinical Psychologist | Milestone Psychiatric and Psychological Services P C | 15 Pleasant St, Hornell, NY 14843-1829 |
| Kimberly R Peckham | Nurse Practitioner | Milestone Psychiatric and Psychological Services P C | 15 Pleasant St, Hornell, NY 14843-1829 |
| Michele H Lowry | Clinical Psychologist | Milestone Psychiatric and Psychological Services P C | 15 Pleasant St, Hornell, NY 14843-1829 |
| Street Address |
15 PLEASANT ST |
| City | HORNELL |
| State | NY |
| Zip | 14843-1829 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John T Capuco | Psychologist, Clinical | 15 Pleasant St, Suite 4, Concord, NH 03301-4026 | |
| Andrea R Burch | Clinical Psychologist | Milestone Psychiatric and Psychological Services P C | 15 Pleasant St, Hornell, NY 14843-1829 |
| Lynn O Connell | Clinical Psychologist | Milestone Psychiatric and Psychological Services P C | 15 Pleasant St, Hornell, NY 14843-1829 |
| John D Cerio | Clinical Psychologist | Milestone Psychiatric and Psychological Services P C | 15 Pleasant St, Hornell, NY 14843-1829 |
| Kimberly R Peckham | Nurse Practitioner | Milestone Psychiatric and Psychological Services P C | 15 Pleasant St, Hornell, NY 14843-1829 |
| Michele H Lowry | Clinical Psychologist | Milestone Psychiatric and Psychological Services P C | 15 Pleasant St, Hornell, NY 14843-1829 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia R Soper | Chiropractic | 303 Seneca Rd, Suite 102, Hornell, NY 14843-1000 | |
| Susan J Cosgrove | Chiropractic | 340 Cleveland Ave, Hornell, NY 14843-1004 | |
| Muhammad Jalaluddin | Neurosurgery | 237 Seneca Rd, Hornell, NY 14843-1033 | |
| Mavidi K Hariprasad | Nephrology | 343 Seneca Rd, Hornell, NY 14843-1033 | |
| Nasar A Chaudhry | Internal Medicine | 327 Seneca Rd, Hornell, NY 14843-1033 | |
| Allan M Robbins | Ophthalmology | 364 Seneca Rd, Hornell, NY 14843-1039 | |
| Ryan J Beers | Optometry | 364 Seneca Rd, Hornell, NY 14843-1039 | |
| Robert W Anderson | Psychologist, Clinical | 97 Main St A, Hornell, NY 14843-1523 | |
| Thomas M Pieklo | Podiatry | 36 Genesee St, Hornell, NY 14843-1614 | |
| Albert Byron Collins | General Surgery | 32 Genesee St, Hornell, NY 14843-1614 | |
| Find all physicians in zip 14843 | |||
| City | HORNELL |
| Zip Code | 14843 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | HORNELL + CLINICAL SOCIAL WORKER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.