Elsa Jimenez Clark, M.D.

NPI #1770589343 in Wantagh, New York

Provider Information

NPI Number: 1770589343
Entity Type: Individual
Name: Elsa Jimenez Clark, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Jun 28, 2005
Last Updated: Jun 24, 2008

Practice Location

Address: 1259 WANTAGH AVE
City: Wantagh
State: New York
ZIP Code: 11793-2205
Phone: (516) 221-7971

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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