Cassandra Marie Clark
Obstetrician
525 E 68th St
New York
, New York 10065-4870
Cassandra Marie Clark
Obstetrician
525 E 68th St
New York
, New York 10065-4870
(209) 534-6320
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About
Features
Specialties
- Obstetrician
Languages spoken
- English
Location
First Address
- Cassandra Marie Clark
- 475 4th Ave Apt 3r
- Brooklyn, NY
- Zip : 11215-3987
- Phone : (209) 534-6320
Second Address
- Cassandra Marie Clark
- 525 E 68th St
- New York, NY
- Zip : 10065-4870
- Phone : (212) 746-5454
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VX0000X | Obstetrician | 023893-01 | NY |
National Provider Identifier
| NPI | 1376184192 |
|---|---|
| Provider Name | Cassandra Marie Clark |
| First Address | Brooklyn, NY 11215-3987 |
| Second Address | New York, NY 10065-4870 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/10/2019 |
| Last Update Date | 02/10/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.