IndividualActive
Cassandra Clark, PA-C
NPI 1376184192 · Obstetrics Physician · New York, NY
Provider details
- NPI number
- 1376184192
- Entity type
- Individual
- Primary specialty
- Obstetrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 023893-01 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
525 E 68th St
New York, NY 10065-4870
Phone: (212) 746-5454
Approximate (ZIP-level) locationGet directions
Mailing address
475 4th Ave Apt 3r
Brooklyn, NY 11215-3987
Registry dates
- Enumerated
- 2019-10-02
- Last updated
- 2019-10-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.