| Doctor Name: | MELANIE C CLARK |
| NPI Number: | 1306272687 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 338313 |
| Business Practice Address: | 16 Danforth St Hoosick Falls Family Health Center Hoosick Falls, NY - 120901226 |
| Business Phone Number: | 5186865002 |
| Business Fax Number: | 5186861848 |
| Mailing Address: | 2 Broad Street Plz, Po Box 304 GLENS FALLS |
| State: | NY |
| Postal Code: | 128014363 |
| Phone Number: | 5189266999 |
| Fax Number: | 5189266984 |
| NPI Enumeration Date: | 09/19/2013 |
| NPI Last Update Date: | 09/19/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 338313 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |