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

Dr. Debra Clark, MD

Individual provider Family Medicine Physician · NPI 1962473397

Dr. Debra Clark, MD is a Family Practice in Keeseville, New York. Graduated from State University of Ny Upstate Medical University in 1985, 41 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.

Years since qualifying
41
Trained at
State University of Ny Upstate Medical University
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1409 Rt 9
Keeseville, NY 12944-2845
Phone: (518) 834-7271
Fax: (518) 834-7086
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 1750471 (NY)

Record details

NPI number1962473397
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 1, 2006
Last updated in NPPESNovember 20, 2023
Certification dateNovember 18, 2023
Mailing address1409 Rt 9, Keeseville, NY 12944-2845

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolSTATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated 1985 (41 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare