Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Courtney Clark, PA-C

Individual provider Physician Assistant · NPI 1740164128

Courtney Clark, PA-C is a Physician Assistant in New York, New York. Qualified in 2025, 1 year ago. Practices with ENT and Allergy Associates LLP, a 432-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
1
Licensed in
NY
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

620 Columbus Ave Ste 2
New York, NY 10024-1459
Phone: (212) 600-9411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 033995 (NY)

Record details

NPI number1740164128
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 31, 2025
Last updated in NPPESAugust 4, 2025
Certification dateAugust 4, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Ent And Allergy Associates Llp — 432 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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