Individual provider · Type 1 NPI

Courtney Clark, PA-C

Physician Assistant · New York, NY

NPI number 1740164128 Active

Practice location

620 Columbus Ave Ste 2
New York, NY 10024-1459

Call (212) 600-9411 Map

Mailing address

660 White Plains Rd Fl ENTA4
Tarrytown, NY 10591-5139

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X033995 (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 1740164128

Courtney Clark, PA-C's National Provider Identifier is 1740164128, issued on Jul 31, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in New York, NY. The record was last updated on Aug 4, 2025.