DR. Clifton Rudolph Lake, MD is a psychiatric hospital in Valley Stream, NY with 37 years of experience. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. DR. Clifton Rudolph Lake, MD NPI is 1063698330. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
46 BROOK RD
VALLEY STREAM, NY
ZIP 11581-416
Phone: (516) 508-0128
The NPI 1063698330 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 1/16/2008 and was last updated on 5/20/2020.