Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Catherine Clark

Individual provider Family Nurse Practitioner · NPI 1619352655

Catherine Clark is a Nurse Practitioner in Binghamton, New York. Qualified in 2015, 11 years ago. Practices with Our Lady of Lourdes Memorial Hospital Inc, a 249-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2015
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Practice location Address checks out

169 Riverside Dr
Binghamton, NY 13905-4246
Phone: (607) 352-3550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 339741 (NY)

Record details

NPI number1619352655
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 20, 2015
Last updated in NPPESApril 16, 2021
Certification dateApril 16, 2021
Mailing address169 Riverside Dr, Binghamton, NY 13905-4246

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Our Lady Of Lourdes Memorial Hospital Inc — 249 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Binghamton