Andre Clark

NPI 1083358998 · on the registry since 2022

Practice

Address: 4966 Glenway Ave
Cincinnati, OH 45238
Phone: (513) 751-7747
Fax: (513) 751-7747
Organisation at this address: Gateways Recovery
Genoa Healthcare Llc
Gateways Recovery Inc
The Healthcare Connection, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 25

Registry record

Primary taxonomy: 171M00000X
171M00000X
Licence states on file: OH
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-04-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio