Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Clifton Rudolph Lake, MD

Individual provider Psychiatry Physician · NPI 1063698330

Dr. Clifton Rudolph Lake, MD is a Psychiatry in Valley Stream, New York. Qualified in 1987, 39 years ago. Practices with Apalachee Center Inc, a 22-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida and New York.

Years since qualifying
39
Licensed in
FL, NY
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

46 Brook Rd
Valley Stream, NY 11581-2416
Phone: (516) 508-0128
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric Hospital (primary) Taxonomy 283Q00000X · Licence P60621 (NY)
Psychiatry Physician Taxonomy 2084P0800X · Licence ACN1119 (FL)

Record details

NPI number1063698330
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 16, 2008
Last updated in NPPESMay 20, 2020
Certification dateMay 20, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Also practisesGERIATRIC PSYCHIATRY
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Apalachee Center Inc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Valley Stream