Individual provider · Type 1 NPI

Katherine E. Clark

Surgical Physician Assistant · New York, NY

NPI number 1851173595 Active

Practice location

462 1st Ave
New York, NY 10016-9196

Call (212) 562-4141 Map

Mailing address

279 E 44th St Apt 17H
New York, NY 10017-4311

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1851173595

Katherine E. Clark's National Provider Identifier is 1851173595, issued on Oct 17, 2023. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in New York, NY. The record was last updated on Oct 24, 2023.