Clarke, Matthew Alan Theophilus

Clarke, Matthew Alan Theophilus is an sole proprietor health care provider with primary practice located at 3051 36Th St , Astoria NY 11103-4704. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Clarke, Matthew Alan Theophilus can be contacted via phone (718) 626-4444.

Contact Information

Primary practice address
3051 36Th St Astoria NY 11103-4704
Phone: (718) 626-4444
Fax: (718) 949-9874
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 209612 New York

Profile Details

NPI number 1528121753
LBN Legal business name Clarke, Matthew Alan Theophilus
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2006
Last updated Jul 8th, 2007 - about 18 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

Popular Providers