Individual provider · Type 1 NPI

Dominique Clark, DC

Chiropractor · Park Ridge, NJ

NPI number 1932071503 Active

Practice location

17 Hawthorne Ave
Park Ridge, NJ 07656-1212

Call (201) 501-8984 Map

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X38MC00813900 (NJ)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1932071503

Dominique Clark, DC's National Provider Identifier is 1932071503, issued on Sep 22, 2025. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Park Ridge, NJ. The record was last updated on Sep 22, 2025.