GIAN LOUIS CLARK NPI 1710852207

NPI Information

  • NPI: 1710852207
  • Provider Name: GIAN LOUIS CLARK
  • Classification: Counselor - 101Y00000X
  • Entity Type: Individual
  • Address: 5676 RIVERDALE AVE
    BRONX, NY
    ZIP 10471
  • Phone: (718) 796-5300

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NPI Details

Gian Louis Clark is a counselor in Bronx, NY. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Gian Louis Clark NPI is 1710852207. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5676 RIVERDALE AVE
BRONX, NY
ZIP 10471-138
Phone: (718) 796-5300
Fax: (718) 884-2901

The enumeration date for this NPI number is 10/6/2025 and was last updated on 10/6/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselor00000000NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11174557409MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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