Individual provider · NPI-1

Dr. Lily Najarian Clark, MD

Dermatology · Bronx, NY

NPI number1578723433
StatusActive
Last updated in NPPESMay 21, 2021

Details

NPI
1578723433
Entity type
Individual (NPI-1)
Name
Dr. Lily Najarian Clark
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Jun 13, 2008
Certification date
Apr 16, 2021
Last updated
May 21, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207N00000X Dermatology241772NYYes

Practice location

130 W Kingsbridge Rd Ste 2f
Bronx, NY 10468-3904

Phone 718-584-9000

Mailing address

161 Fort Washington Ave
12th Floor
New York, NY 10032-3729

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Dermatology providers in Bronx, NY