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

Patricia L Clark, RPA-C

Individual provider Medical Physician Assistant · NPI 1316170574

Patricia L Clark, RPA-C is a Physician Assistant in Wading River, New York. Graduated from State University of New York at Stony Brook, School of Medicine in 2009, 17 years ago. Practices with Preferred Professional Medical Care PC, a 14-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
17
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
NY
In the registry since
2009

Practice location Address checks out

271 Route 25A Ste 2
Wading River, NY 11792-2014
Phone: (631) 929-1256
Fax: (631) 929-8313
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 013420-1 (NY)

Record details

NPI number1316170574
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPA-C
Sole proprietorNo
NPI enumeratedSeptember 3, 2009
Last updated in NPPESSeptember 3, 2009

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Preferred Professional Medical Care Pc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wading River