Dr. Loren Ann Clark, DO
Pediatrics in New Hyde Park, NY. Individual provider (NPI-1).
NPI number1033859319
StatusActive
Last updated in NPPESSep 8, 2025
Details
- NPI
- 1033859319
- Entity type
- Individual (NPI-1)
- Name
- Dr. Loren Ann Clark
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 1, 2022
- Certification date
- Sep 8, 2025
- Last updated
- Sep 8, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 339563 | NY | Yes |
Practice location
26901 76th AveNew Hyde Park, NY 11040-1433
Phone 718-470-3206
Mailing address
26901 76th AveNew Hyde Park, NY 11040-1433
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