Individual
CASSANDRA MARIE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-5454
Mailing address
475 4TH AVE APT 3R, BROOKLYN, NY 11215-3987
(209) 534-6320
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
023893-01
NY
Other
Enumeration date
10/02/2019
Last updated
10/02/2019
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