Clark, Barry James

Clark, Barry James is an individual health care provider with primary practice located at 55 W 125Th St Fl 10 , New York NY 10027-4516. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Clark, Barry James can be contacted via phone (212) 864-4128.

Contact Information

Primary practice address
55 W 125Th St Fl 10 New York NY 10027-4516
Phone: (212) 864-4128
Fax: (212) 864-7987
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 27584 New York

Profile Details

NPI number 1972840999
LBN Legal business name Clark, Barry James
Credentials CASAC-T
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2013
Last updated Jan 10th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1972840999 NPPES
New York MEDICAID 132759323

Popular Providers