Individual provider · Type 1 NPI

Casey Grace Clark, PA

Physician Assistant · New Hyde Park, NY

NPI number 1114461589 Active

Practice location

27005 76th Ave
New Hyde Park, NY 11040-1402

Call (718) 470-7500 Map

Mailing address

87 W Islip Rd
West Islip, NY 11795-4553

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X020461 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1114461589

Casey Grace Clark, PA's National Provider Identifier is 1114461589, issued on Dec 5, 2016. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in New Hyde Park, NY. The record was last updated on Jul 11, 2022.