Individual provider · NPI-1

Dr. Zachery C Clark, D.C.

Chiropractor · Orchard Park, NY

NPI number1487748133
StatusActive
Last updated in NPPESMay 16, 2008

Details

NPI
1487748133
Entity type
Individual (NPI-1)
Name
Dr. Zachery C Clark
Credential
D.C.
Sex
Male
Sole proprietor
No
Enumeration date
Oct 3, 2006
Last updated
May 16, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractorx010071NYYes

Practice location

4180 Abbott Rd.
Orchard Park, NY 14127-2229

Phone 716-648-7746 · Fax 716-648-7750

Mailing address

4180 Abbott Rd.
Orchard Park, NY 14127

Phone 716-648-7746 · Fax 716-648-7750

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