Individual
ASHLEIGH L CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
541 EAST 71ST STREET, 6TH FLOOR, NEW YORK, NY 10021
(212) 774-7180
(212) 774-7347
Mailing address
535 E 70TH ST, NEW YORK, NY 10021-4823
(212) 774-7180
(212) 774-7347
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
015028
NY
363AS0400X
Surgical Physician Assistant
Primary
25MP00272400
NJ
Other
Enumeration date
01/26/2012
Last updated
10/24/2024
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