Clark, Casey Grace

Clark, Casey Grace is an individual health care provider with primary practice located at 27005 76Th Ave , New Hyde Park NY 11040-1402. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Clark, Casey Grace can be contacted via phone (718) 470-7500.

Contact Information

Primary practice address
27005 76Th Ave New Hyde Park NY 11040-1402
Phone: (718) 470-7500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 020461 New York

Profile Details

NPI number 1114461589
LBN Legal business name Clark, Casey Grace
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2016
Last updated Jul 11th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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