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1114461589
CASEY GRACE CLARK
NEW HYDE PARK, NY
NPI
1114461589
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 020461)
Enumeration Date
2016-12-05
Last Update Date
2022-07-11
Business Address
CASEY GRACE CLARK PA
27005 76TH AVE
NEW HYDE PARK, NY 11040-1402
Phone number: 718-470-7500
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Mailing Address
CASEY GRACE CLARK PA
87 W ISLIP RD
WEST ISLIP, NY 11795-4553
Phone number: 631-357-1312
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