William B Clark Obstetrics/gynecology
585 New Loudon Rd, Latham, NY 12110-5701



William B Clark is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1235202599. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 6800859224. The medical credential is MD. The primary specialty is OBSTETRICS/GYNECOLOGY. The organization is W BRUCE CLARK MD PC. The address is 585 New Loudon Rd, Latham, NY 12110-5701. The zip code is 12110.


William B Clark · 585 New Loudon Rd, Latham, NY 12110-5701

Nation Provider ID 1235202599
PAC ID by PECOS 6800859224
Professional Enrollment ID I20041122000730
Last Name CLARK
First Name WILLIAM
Middle Name B
Gender M
Credential MD
Medical School Name OTHER
Graduation Year 1971
Primary Specialty OBSTETRICS/GYNECOLOGY
Primary Specialty W BRUCE CLARK MD PC
Group Practice PAC ID 6608839162
Number of Group Practice Members 3
Address 585 NEW LOUDON RD
LATHAM, NY 121105701
Claims Based Hospital Affiliation Claim Control Number (CCN): 330003
Legal Business Name: MEMORIAL HOSPITAL
Claims Based Hospital Affiliation Claim Control Number (CCN): 330057
Legal Business Name: ST PETERS HOSPITAL
Claims Based Hospital Affiliation Claim Control Number (CCN): 330013
Legal Business Name: ALBANY MEDICAL CENTER HOSPITAL
Professional accepts Medicare Assignment M
Participates in Medicare Physician Quality Reporting System (PQRS) Y

W Bruce Clark Md PC · Medicare Physician

Name Address Specialty
Humera Syeda 585 New Loudon Rd, Latham, NY 12110 OBSTETRICS/GYNECOLOGY

Zip 12110 · Obstetrics/gynecology · Medicare Physician

Name Address Specialty
Naomi Bloomfield 711 Troy Schenectady Rd, Latham, NY 12110 OBSTETRICS/GYNECOLOGY
Humera Syeda 585 New Loudon Rd, Latham, NY 12110 OBSTETRICS/GYNECOLOGY
Jockular Ford 711 Troy Schenectady Rd, Latham, NY 12110 OBSTETRICS/GYNECOLOGY
Fe Teresa Mccarthy 951 Albany Shaker Rd, Latham, NY 12110 OBSTETRICS/GYNECOLOGY
Elina Burstyn 711 Troy Schenectady Rd, Latham, NY 12110 OBSTETRICS/GYNECOLOGY
Susan Soni 1202 Troy Schenectady Rd, Latham, NY 12110 OBSTETRICS/GYNECOLOGY

Zip 12110 · Medicare Physician

Name Address Specialty
Katherine Stam 711 Troy Schenectady Rd, Latham, NY 12110 FAMILY PRACTICE
Betsy Osborn 582 New Loudon Rd, Latham, NY 12110 CLINICAL SOCIAL WORKER
Matthew Lindemann 711 Troy Schenectady Rd, Latham, NY 12110 PHYSICAL THERAPY
Stephanie Graziani 400 Troy Schenectady Rd, Latham, NY 12110 OPTOMETRY
Maria Grimes 711 Troy Schenectady Rd, Latham, NY 12110 OCCUPATIONAL THERAPY
Ping Lu 711 Troy Schenectady Rd, Latham, NY 12110 NUCLEAR MEDICINE
Catherine Dascher 711 Troy Schenectady Rd, Latham, NY 12110 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Brian Reese 711 Troy Schenectady Rd, Latham, NY 12110 PHYSICAL THERAPY
Lois Lambrinos 711 Troy Schenectady Rd, Latham, NY 12110 NURSE PRACTITIONER
Robert Fox 1202 Troy Schenectady Rd, Latham, NY 12110 OPTOMETRY
Robert Marshall 711 Troy Schenectady Rd, Latham, NY 12110 FAMILY PRACTICE
Jerome Chao 13 Century Hill Dr, Latham, NY 12110 PLASTIC AND RECONSTRUCTIVE SURGERY
Dean Thompson 711 Troy Schenectady Rd, Latham, NY 12110 INTERNAL MEDICINE
Trisha Mackenzie 711 Troy Schenectady Rd, Latham, NY 12110 PHYSICAL THERAPY
Joong Shin 711 Troy Schenectady Rd, Latham, NY 12110 FAMILY PRACTICE
Marissa Page 711 Troy Schenectady Rd, Latham, NY 12110 NURSE PRACTITIONER
Martin Marrazo 713 Troy Schenectady Rd, Latham, NY 12110 CLINICAL PSYCHOLOGIST
Susan Waltman 711 Troy Schenectady Rd, Latham, NY 12110 CLINICAL SOCIAL WORKER
Sharita Nagaraj 713 Troy Schenectady Rd, Latham, NY 12110 GENERAL SURGERY
Mohandas Potluri 588 New Loudon Rd, Latham, NY 12110 GENERAL PRACTICE